NPIMap

Organization Active NPI

Catawba Valley Medical Center

  • General Acute Care Hospital
  • Hickory, NC
National Provider Identifier
1164495255
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H0223 Issued in NC
Legal business name
CATAWBA VALLEY MEDICAL CENTER
Practice address
810 Fairgrove Church Rd
Hickory, NC 28602-9617
Phone
(828) 326-3809
Fax
(828) 326-3371
NPI assigned
Feb 9, 2006
Last updated
Nov 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Authorized official

Name
Pamela Gallagher
Title
VP of Finance
Phone
(828) 326-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H0223 NC Primary

Addresses

Primary practice location

810 Fairgrove Church Rd
Hickory, NC 28602-9617

Mailing address

810 Fairgrove Church Rd
Hickory, NC 28602-9617
Phone (828) 326-3809

Other identifiers 5

IdentifierTypeStateIssuer
98OtherNCBCBS PROVIDER NUMBER
3400143MedicaidNC
8907682MedicaidNC
235025B000000OtherNCTRAILBLAZER PIN
371710600OtherNCMEDICAID - BLACK LUNG

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20021116000007 NC Part A Provider - Hospital 0547178907 Practice locations: Conover, NC; Hickory, NC
O20040216001128 NC Part B Supplier - Clinic/Group Practice 0547178907 Receives reassigned benefits from 64 practitioners
19 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hickory, NC
O20040303000589 NC Part B Supplier - Clinic/Group Practice 0547178907 Receives reassigned benefits from 71 practitioners
7 other NPIs on this enrollment
Practice locations: Hickory, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164495255. Details of each certification follow.

Hospital certification: CCN 340143

Legal name
CATAWBA VALLEY MEDICAL CENTER
Doing business as
CATAWBA MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Oct 15, 1967
Last certification
Mar 14, 2014
Beds
258
Ownership / control type
Other
Organization structure
OtherNon-profit
Enrollment address
810 Fairgrove Church Rd
Hickory, NC 28602-9617
Other Hospital Practice Location
Hospital subgroups
General, Acute care, Psychiatric, Psychiatric unit, Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Catawba Valley Medical CenterCCN 340143 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: jdelcharco@cvmc.direct.varian.com
  • Direct secure messaging: stomlinson@cvmc.direct.varian.com
  • Direct secure messaging: wsigmon@cvmc.direct.varian.com

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Pamela Gallagher Individual Corporate OfficerCfo Apr 1, 2023
W-2 Managing EmployeeCfo Apr 1, 2023
Tiffany Perez Individual W-2 Managing EmployeeProviderenrollment Specialist Apr 11, 2024
County of Catawba Office of Accountant Organization, Newton, NC Operational/Managerial Control Oct 15, 1986
Melinda Fulbright Individual Corporate DirectorDirector Managed Care Apr 11, 2024
W-2 Managing EmployeeDirector Managed Care Apr 11, 2024

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Catawba Valley Medical CenterHickory, NC, CCN 34S143 Hospital Other Dec 10, 1962

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 90

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 90

Affiliated clinicians 543

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 543

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1164495255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 FAIRGROVE CHURCH RD",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286029617",
            "telephone_number": "828-326-3809",
            "fax_number": "828-326-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 FAIRGROVE CHURCH RD",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286029617",
            "telephone_number": "828-326-3809",
            "fax_number": "828-326-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATAWBA VALLEY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "828-326-3800"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NC",
            "license": "H0223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "98",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3400143",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8907682",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAILBLAZER PIN",
            "identifier": "235025B000000",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID - BLACK LUNG",
            "identifier": "371710600",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.