Provider Demographics
NPI:1346381266
Name:CHATHAM HOSPITAL INC
Entity Type:Organization
Organization Name:CHATHAM HOSPITAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BUNCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-799-4001
Mailing Address - Street 1:PO BOX 649
Mailing Address - Street 2:
Mailing Address - City:SILER CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27344-0649
Mailing Address - Country:US
Mailing Address - Phone:919-799-4000
Mailing Address - Fax:919-799-4011
Practice Address - Street 1:475 PROGRESS BLVD.
Practice Address - Street 2:
Practice Address - City:SILER CITY
Practice Address - State:NC
Practice Address - Zip Code:27344-0649
Practice Address - Country:US
Practice Address - Phone:919-799-4000
Practice Address - Fax:919-799-4011
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHATHAM HOSPITAL INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-12
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCH0007282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
00989OtherBLUE CROSS OF NC
NC3451311Medicaid
NC3451311Medicaid