Provider Demographics
NPI:1811582018
Name:HUGH CHATHAM MEMORIAL HOSPITAL, INC.
Entity Type:Organization
Organization Name:HUGH CHATHAM MEMORIAL HOSPITAL, INC.
Other - Org Name:HUGH CHATHAM ENDOCRINOLOGY AND DIABETES SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF BUSINESS SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:C
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-527-7567
Mailing Address - Street 1:PO BOX 560
Mailing Address - Street 2:
Mailing Address - City:ELKIN
Mailing Address - State:NC
Mailing Address - Zip Code:28621-0560
Mailing Address - Country:US
Mailing Address - Phone:336-527-7000
Mailing Address - Fax:
Practice Address - Street 1:300 JOHNSON RIDGE MEDICAL PARK
Practice Address - Street 2:
Practice Address - City:ELKIN
Practice Address - State:NC
Practice Address - Zip Code:28621-2453
Practice Address - Country:US
Practice Address - Phone:336-258-8100
Practice Address - Fax:336-258-8095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-09
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty