Southfork Medical Park
LBN: Caldwell Memorial Hospital, Inc
Southfork Medical Park is an health care organization with primary practice located at 1731 Connelly Springs Rd , Lenoir NC 28645-7827. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Caldwell Memorial Hospital, Inc can be contacted via phone (828) 757-6300, or through Shadowens, Karen via phone (336) 627-8512.
Contact Information
Primary practice address
1731 Connelly Springs Rd
Lenoir NC 28645-7827
Phone: (828) 757-6300
Fax: (828) 757-6324
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X |
Profile Details
| NPI number | 1417962150 |
|---|---|
| LBN Legal business name | Caldwell Memorial Hospital, Inc |
| DBA Doing business as | Southfork Medical Park |
| Authorized official | Shadowens, Karen |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 30th, 2006 |
| Last updated | Jun 16th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417962150 | NPPES |
| North Carolina | MEDICAID | 790118N |
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