WATAUGA MEDICAL CENTER INC. NPI 1194069765

NPI Information

NPI: 1194069765
Provider Name: WATAUGA MEDICAL CENTER, INC.

Doing Business As: THE CARDIOLOGY CENTER - ASHE

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
257 MEDICAL PARK DR
JEFFERSON, NC
ZIP 28640
Phone: (336) 246-2404
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WATAUGA MEDICAL CENTER, INC. is a cardiovascular disease internal medicine in Jefferson, NC. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. WATAUGA MEDICAL CENTER, INC. NPI is 1194069765. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As The Cardiology Center - Ashe.

The provider's business location address is:

257 MEDICAL PARK DR
JEFFERSON, NC
ZIP 28640-561
Phone: (336) 246-2404
Fax: (336) 246-2420

The provider's authorized official is Mary Etta Long .
The authorized official title is Sr Vp Medical Staff Relations and has the following contact phone number (828) 262-4133.

The enumeration date for this NPI number is 11/20/2012 and was last updated on 11/20/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	H0037	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A746	MEDICARE PIN	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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