WATAUGA MEDICAL CENTER INC; NPI #1811658081

Contact Information

WATAUGA MEDICAL CENTER INC

200 HOSPITAL AVE
SEGRAVES HALL 1
JEFFERSON, NC 28640

Phone: 828-264-9664
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Cardiovascular Disease	207RC0000X	11	Physician/Internal Medicine

Indicates primary specialty

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NPI Profile & details for WATAUGA MEDICAL CENTER INC

NPI #	`1811658081`
LBN Legal business name	WATAUGA MEDICAL CENTER INC
Authorized official	MARY LONG - (SVP MEDICAL STAFF RELATIONS)
Entity	Organization
Organization subpart ¹	No
Enumeration date	01/10/2022
Last updated	01/15/2025 - More than a year ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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