Provider Demographics
NPI:1952546756
Name:CATAWBA VALLEY MEDICAL CENTER
Entity Type:Organization
Organization Name:CATAWBA VALLEY MEDICAL CENTER
Other - Org Name:CATAWBA VALLEY INFECTIOUS DISEASE CONSULTANTS
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 1:3412 GRAYSTONE PL SE
Mailing Address - Street 2:SUITE B
Mailing Address - City:CONOVER
Mailing Address - State:NC
Mailing Address - Zip Code:28613-8262
Mailing Address - Country:US
Mailing Address - Phone:828-326-2145
Mailing Address - Fax:
Practice Address - Street 1:3412 GRAYSTONE PL SE
Practice Address - Street 2:SUITE B
Practice Address - City:CONOVER
Practice Address - State:NC
Practice Address - Zip Code:28613-8262
Practice Address - Country:US
Practice Address - Phone:828-326-2145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-08
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5911500Medicaid
NC022EMOtherBCBS OF NC
NC235025XMedicare Oscar/Certification