Provider Demographics
NPI:1265453765
Name:WRMC HOSPITAL OPERATING CORPORATION
Entity Type:Organization
Organization Name:WRMC HOSPITAL OPERATING CORPORATION
Other - Org Name:HOSPICE OF WRMC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP FINANCE & CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARKHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-651-8510
Mailing Address - Street 1:PO BOX 609
Mailing Address - Street 2:1908 WEST PARK DRIVE
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 1:1908 W PARK DR
Practice Address - Street 2:
Practice Address - City:NORTH WILKESBORO
Practice Address - State:NC
Practice Address - Zip Code:28659-3563
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:2006-07-21
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3411506Medicaid
NC341506Medicare ID - Type Unspecified