NPIMap

Organization Active NPI

Caldwell Memorial Hospital, Inc.

Doing business as City of Lenoir Employee Clinic

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Lenoir, NC
National Provider Identifier
1356694764
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
Legal business name
CALDWELL MEMORIAL HOSPITAL, INC.
Doing business as
City of Lenoir Employee Clinic
Practice address
2345 Morganton Blvd SW
Lenoir, NC 28645-4973
Phone
(828) 755-8272
NPI assigned
Oct 23, 2012
Last updated
Jan 31, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
CALDWELL MEMORIAL HOSPTIAL, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Authorized official

Name
Donald Frank Gardner Jr.
Title
VP/Cfo
Phone
(828) 757-5100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Preventive Medicine/Occupational Environmental Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0500X Primary

Addresses

Primary practice location

2345 Morganton Blvd SW
Lenoir, NC 28645-4973

Mailing address

PO Box 710
Lenoir, NC 28645-0710
Phone (828) 757-5060

Other names 1

  • City of Lenoir Employee Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Caldwell Podiatry Cente26 organizations share this tax ID, including this one
Part of
Caldwell Podiatry Cente

Other organizations with this tax ID 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1356694764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 710",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286450710",
            "telephone_number": "828-757-5060",
            "fax_number": "828-757-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 MORGANTON BLVD SW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286454973",
            "telephone_number": "828-755-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDWELL MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALDWELL MEMORIAL HOSPTIAL, INC",
        "enumeration_date": "2012-10-23",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "828-757-5100",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Lenoir Employee Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lenoir, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.