NPIMap

Catawba Valley Medical Center

Organization Active NPI Psychiatry Physician · Hickory, NC

NPI 1497792469 · NPPES record last updated Nov 20, 2023

Key facts

NPI
1497792469
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatry Physician 2084P0800X
Legal business name
CATAWBA VALLEY MEDICAL CENTER
Practice address
1120 Fairgrove Church Rd
Hickory, NC 28602-9630
Phone
(828) 326-3809
NPI assigned
May 31, 2006
Organization subpart
No

Authorized official

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

Owned or controlled facilities with NPI records 1

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

Other NPIs with the same Medicare PAC ID 5

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

Practitioners 116

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

View all 116

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

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 Center
Hickory, NC · CCN 34S143		 Hospital Other Dec 10, 1962

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040127000109 NC Part B Supplier - Clinic/Group Practice 0547178907 Receives reassigned benefits from 10 practitioners
Practice locations: Hickory, NC

National Provider Directory

Locations

1120 Fairgrove Church Rd
Ste 12
Hickory, NC 28602
Phone (828) 326-2828

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 2084P0800X Yes

Addresses

Primary practice location

1120 Fairgrove Church Rd
Hickory, NC 28602-9630

Mailing address

PO Box 890499
Charlotte, NC 28289-0499
Phone (828) 326-3809

Other identifiers

IdentifierTypeStateIssuer
6005745MedicaidNC
0236LOtherNCCAT VAL PSY BCBS
0236LOtherNCNC BCBS
890236LMedicaidNC

Other names

  • CATAWBA VALLEY PSYCHIATRIC SERVICES Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 20, 2023.

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1497792469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890499",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282890499",
            "telephone_number": "828-326-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 FAIRGROVE CHURCH RD",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286029630",
            "telephone_number": "828-326-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATAWBA VALLEY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "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": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005745",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAT VAL PSY BCBS",
            "identifier": "0236L",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BCBS",
            "identifier": "0236L",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890236L",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CATAWBA VALLEY PSYCHIATRIC SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CATAWBA VALLEY PSYCHIATRIC SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hickory, NC

All providers in Hickory, NC · Psychiatry Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.