Hugh Chatham Memorial Hospital, Inc.
Organization Active NPI Nephrology Physician · Elkin, NC
NPI 1215697602 · NPPES record last updated Oct 20, 2023
Key facts
- NPI
- 1215697602
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nephrology Physician 207RN0300X
- Legal business name
- HUGH CHATHAM MEMORIAL HOSPITAL, INC.
- Practice address
- 500 Chatham Medical Park Ste B
Elkin, NC 28621-2481 - Phone
- (336) 258-8094
- Fax
- (336) 258-8095
- NPI assigned
- Dec 27, 2021
- Organization subpart
- No
Authorized official
- Name
- Anna C Robinson
- Title
- Director of Business Services
- Phone
- (336) 527-7567
Other NPIs on the same Medicare enrollment 22
Corporate family (same tax ID) 15
Practitioners 1
-
Mark Monroe Mayes, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040717000340 | NC | Part B Supplier - Clinic/Group Practice | 2062311442 |
Receives reassigned benefits from 102 practitioners 22 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Ronda, NC; Mount Airy, NC; Jonesville, NC; Hays, NC; Elkin, NC; Boomer, NC; Dobson, NC |
National Provider Directory
- Tax ID family
- Hugh Chatham Memorial H
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician |
207RN0300X | Yes |
Addresses
Primary practice location
500 Chatham Medical Park Ste B
Elkin, NC 28621-2481
Mailing address
PO Box 560
Elkin, NC 28621-0560
Phone (336) 527-7000
Other names
- Hugh Chatham Nephrology
Other providers in Elkin, NC
- Hugh Chatham Memorial Hospital, Inc
- Hugh Chatham Memorial Hospital, Inc
- Hugh Chatham Memorial Hospital, Inc
- Hugh Chatham Memorial Hospital, Inc
- Hugh Chatham Memorial Hospital, Inc.
- Hugh Chatham Memorial Hospital, Inc.
- Hugh Chatham Memorial Hospital, Inc.
- Hugh Chatham Memorial Hospital, Inc.
- Hugh Chatham Memorial Hospital, Inc.
- Hugh Chatham Memorial Hospital, Inc.
All providers in Elkin, NC · Nephrology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.