CATAWBA VALLEY MEDICAL CENTER (NPI# 1205060332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205060332 |
| Entity Type | Organization |
| Organization Name | CATAWBA VALLEY MEDICAL CENTER |
| Other Organization Name | CATAWBA VALLEY PSYCHIATRIC SERVICES |
| Practice Address |
1120 Fairgrove Church Rd Hickory NC 28602-9630 |
| Practice Telephone | 8283262626 |
| Mailing Telephone | 8283262626 |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2009-05-04 |
| Authorized Official Name | DAVID J BOONE (SR. VICE PRESIDENT/FINANCE) |
| Authorized Official Telephone | 8283263809 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| CATAWBA VALLEY PSYCHIATRIC SERVICES | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689611220 | Catawba Valley Medical Center | Radiology | 235 18th St Se, Hickory, NC 28602-1364 | 2006-06-01 |
| 1497792469 | Catawba Valley Medical Center | Psychiatry & Neurology | 1120 Fairgrove Church Rd, Hickory, NC 28602-9630 | 2006-05-31 |
| 1972550945 | Catawba Valley Medical Center | Family Medicine | 212 29th Ave Ne, Hickory, NC 28601-1130 | 2006-05-27 |
| 1265483556 | Catawba Valley Medical Center | Family Medicine | 2890 S Lookout St, Claremont, NC 28610-9528 | 2006-05-12 |
| 1174574495 | Catawba Valley Medical Center | Family Medicine | 2386 Springs Rd Ne, Hickory, NC 28601-3066 | 2006-05-12 |
| 1184675472 | Catawba Valley Medical Center | Family Medicine | 200 Rosenwald School Street, Catawba, NC 28609-8811 | 2006-05-12 |
| 1518524818 | Catawba Valley Medical Center | Health Educator | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 | 2019-05-22 |
| 1952832941 | Catawba Valley Medical Center | Physical Medicine & Rehabilitation | 3246 6th Ave Se, Hickory, NC 28602-8335 | 2017-03-22 |
| 1609222462 | Catawba Valley Medical Center | Psychiatry & Neurology | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 | 2016-05-11 |
| 1447655147 | Catawba Valley Medical Center | Pharmacy | 810 Fairgrove Church Rd Se, Hickory, NC 28602-9643 | 2014-10-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CATAWBA VALLEY MEDICAL CENTER | 810 Fairgrove Church Rd Se, Hickory, NC 28602-9617 |
| Street Address |
1120 FAIRGROVE CHURCH RD |
| City | HICKORY |
| State | NC |
| Zip Code | 28602-9630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497792469 | Catawba Valley Medical Center | Psychiatry & Neurology | 1120 Fairgrove Church Rd, Hickory, NC 28602-9630 | 2006-05-31 |
| 1669606794 | Catawba Valley Medical Center | Social Worker | 1120 Fairgrove Church Rd, Hickory, NC 28602-9630 | 2009-05-04 |
| 1770765000 | Vern Allen Klahn | Physician Assistant | 1120 Fairgrove Church Rd, Suite 12, Hickory, NC 28602-9630 | 2007-11-28 |
| 1225167216 | Aids Leadership Foothills-area Alliance, Inc. | Case Management | 1120 Fairgrove Church Rd, Suite 28, Hickory, NC 28602-9630 | 2007-03-05 |
| 1215095427 | Linda L Scott | Nurse Practitioner | 1120 Fairgrove Church Rd, Hickory, NC 28602-9630 | 2006-12-04 |
| 1487673745 | Tyler Shely | Social Worker | 1120 Fairgrove Church Rd, Suite 12, Hickory, NC 28602-9630 | 2006-07-18 |
| 1891711628 | Charles Davis | Psychiatry & Neurology | 1120 Fairgrove Church Rd, Hickory, NC 28602-9630 | 2006-07-14 |
| 1932124880 | Cathleen Lafave | Psychologist | 1120 Fairgrove Church Rd, Hickory, NC 28602-9630 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063983286 | Ivan Ortega | Health Educator | 810 Fairgrove Church Road Se, Hickory, NC 28602 | 2018-12-16 |
| 1578078895 | Zachary Chad Greer | Physician Assistant | 1927 3rd Ave Ln Se, Hickory, NC 28602 | 2017-12-08 |
| 1952842015 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2264 Us Highway 70 Se, Hickory, NC 28602 | 2017-03-09 |
| 1013456318 | Juanita Brown | Counselor | 306 4th St Sw, Hickory, NC 28602 | 2017-02-20 |
| 1639616725 | Francisca Blanco | Clinic/Center | 5276 0lde School Dr, Hickory, NC 28602 | 2017-01-26 |
| 1982155263 | Livanta Medical Center | Physician Assistant | 2105 Catawba Valley Blvd Se, Hickory, NC 28602 | 2016-10-20 |
| 1225588817 | Melike Demirozu | Social Worker | 738 4th St. Sw, Hickory, NC 28602 | 2016-10-07 |
| 1528411592 | April Prout | Social Worker | 1053 13th St Se, Hickory, NC 28602 | 2016-07-14 |
| 1457706921 | Maitry Parikh | Dentist | 2535 Us Highway 70 Se Ste 112, Hickory, NC 28602 | 2016-05-03 |
| 1245614510 | Doran Stilwell | Physical Therapy Assistant | 4161 South Fork Avenue, Hickory, NC 28602 | 2015-07-16 |
| Find all providers in zip 28602 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659762128 | Piedmont Counseling and Development Group | Psychologist | 305 4th St Sw, Hickory, NC 28602-2820 | 2015-02-05 |
| 1518217686 | Roberta Ann Shannon-kirby | Psychologist | 211-b Highway 127, 75 Browning Drive Taylorsville Nc 28681-6642, Hickory, NC 28602-3541 | 2012-09-14 |
| 1619004769 | Freedom Counseling | Psychologist | 901 Us Highway 321 Nw, Suite 134, Hickory, NC 28601-4770 | 2007-02-27 |
| 1144390519 | Andrea Nicole Sinclair | Psychologist | 1985 Tate Blvd Se Suite 300, Hickory, NC 28602 | 2006-11-09 |
| 1083711816 | Gary S Indenbaum | Psychologist | 321 7th Street Ne, Suite A, Hickory, NC 28601-5154 | 2006-09-20 |
| 1023558301 | Kathryn Bagnato | Psychologist | 326 2nd Ave Nw, Hickory, NC 28601-4944 | 2017-03-06 |
| 1790003366 | Timothy Arthur Boyd | Psychologist | 263 3rd Ave Nw, Hickory, NC 28601-4911 | 2010-05-06 |
| 1326285677 | Julie Renee Zimmerman | Psychologist | 1985 Tate Blvd Se, Suite 300, Hickory, NC 28602-1433 | 2009-01-08 |
| 1518123546 | Karmen Renee Gadsden | Psychologist | 2440 Century Pl Se, Hickory, NC 28602-4031 | 2008-07-30 |
| 1598923310 | Alec Riddle | Psychologist | 17 Us Highway 70 Se, Hickory, NC 28602-5225 | 2008-05-29 |
| Find all providers in HICKORY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.