Provider Demographics
NPI:1093737082
Name:WRMC HOSPITAL OPERATING CORPORATION
Entity Type:Organization
Organization Name:WRMC HOSPITAL OPERATING CORPORATION
Other - Org Name:WRMC PHYSICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORPORATE COMPLIANCE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:KAYE
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-651-8060
Mailing Address - Street 1:PO BOX 609
Mailing Address - Street 2:1370 WEST D ST
Mailing Address - City:NORTH WILKESBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28659-0609
Mailing Address - Country:US
Mailing Address - Phone:336-651-8100
Mailing Address - Fax:336-651-8465
Practice Address - Street 1:1370 WEST D ST
Practice Address - Street 2:
Practice Address - City:NORTH WILKESBORO
Practice Address - State:NC
Practice Address - Zip Code:28659-3506
Practice Address - Country:US
Practice Address - Phone:336-651-8100
Practice Address - Fax:336-651-8465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC=========OtherFEDERAL TAX ID NUMBER
NC=========OtherFEDERAL TAX ID NUMBER