NPIMap

Organization Active NPI

Catawba Valley Medical Group Inc

Doing business as CVMG Northeast Hickory

  • Non-Pharmacy Dispensing Site
  • Hickory, NC
National Provider Identifier
1003228321
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
2005-01082 Issued in NC
Legal business name
CATAWBA VALLEY MEDICAL GROUP INC
Doing business as
CVMG Northeast Hickory
Practice address
2386 Springs Rd NE
Hickory, NC 28601-3066
Phone
(858) 256-2112
NPI assigned
May 21, 2014
Last updated
May 21, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDVANTX, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kenny Heine
Title
VP of Operations
Phone
(858) 964-1506

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X 2005-01082 NC Primary

Addresses

Primary practice location

2386 Springs Rd NE
Hickory, NC 28601-3066

Mailing address

5626 Oberlin Dr
Suite 110
San Diego, CA 92121-1705

Other names 1

  • CVMG Northeast Hickory Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Catawba Valley Medical Group Inc23 organizations share this tax ID, including this one
Part of
Medvantx Inc

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1003228321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2386 SPRINGS RD NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013066",
            "telephone_number": "858-256-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATAWBA VALLEY MEDICAL GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2014-05-21",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "858-964-1506"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NC",
            "license": "2005-01082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVMG Northeast Hickory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.