NPIMap

Organization Active NPI

Catawba Valley Medical Center

  • Obstetrics Physician
  • Hickory, NC
National Provider Identifier
1285929554
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
Legal business name
CATAWBA VALLEY MEDICAL CENTER
Practice address
3070 11TH Avenue Dr SE
Hickory, NC 28602-8336
Phone
(828) 695-5782
NPI assigned
Jun 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 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
Obstetrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VX0000X Primary

Addresses

Primary practice location

3070 11TH Avenue Dr SE
Hickory, NC 28602-8336

Mailing address

3070 11TH Avenue Dr SE
Hickory, NC 28602-8336
Phone (828) 695-5782

Other names 1

  • CVMC MATERNITY SERVICES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040216001128 NC Part B Supplier - Clinic/Group Practice 0547178907 Receives reassigned benefits from 64 practitioners
19 other NPIs on this enrollment
Practice locations: Hickory, NC

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 8

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2042334CVMC - Maternity Services3070 11TH Avenue Drive SE, Hickory, NC 28602Provider-performed microscopyJun 7, 2028

National Provider Directory

National Provider Directory
Tax ID family
Catawba Memorial ER Phy19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations

3070 11th Avenue Dr SE
Hickory, NC 28602
Phone (828) 466-7196

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 133

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 133

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1285929554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 11TH AVENUE DR SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286028336",
            "telephone_number": "828-695-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 11TH AVENUE DR SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286028336",
            "telephone_number": "828-695-5782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATAWBA VALLEY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "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": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVMC MATERNITY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CVMC MATERNITY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.