Provider Demographics
NPI:1497792469
Name:CATAWBA VALLEY MEDICAL CENTER
Entity Type:Organization
Organization Name:CATAWBA VALLEY MEDICAL CENTER
Other - Org Name:CATAWBA VALLEY PSYCHIATRIC SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:GALLAGHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-326-3800
Mailing Address - Street 1:PO BOX 890499
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28289-0499
Mailing Address - Country:US
Mailing Address - Phone:828-326-3809
Mailing Address - Fax:
Practice Address - Street 1:1120 FAIRGROVE CHURCH RD
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-9630
Practice Address - Country:US
Practice Address - Phone:828-326-3809
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6005745Medicaid
NC0236LOtherCAT VAL PSY BCBS
NC0236LOtherNC BCBS
NC890236LMedicaid
NC235025TMedicare ID - Type UnspecifiedCAT VAL PSY MEDICARE
NC890236LMedicaid
NC235025UMedicare PIN