WATAUGA MEDICAL CENTER INC NPI 1336215821

NPI Information

NPI: 1336215821
Provider Name: WATAUGA MEDICAL CENTER INC

Doing Business As: WATAUGA MEDICAL CENTER EKG INT

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
336 DEERFIELD RD
BOONE, NC
ZIP 28607
Phone: (828) 262-4438
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WATAUGA MEDICAL CENTER INC is a cardiovascular disease internal medicine in Boone, 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 1336215821. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Watauga Medical Center Ekg Int.

The provider's business location address is:

336 DEERFIELD RD
BOONE, NC
ZIP 28607-008
Phone: (828) 262-4438
Fax: (828) 262-4157

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 11/27/2006 and was last updated on 10/22/2013.

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	208600000X	Surgery				No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	H0077	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	235122B	MEDICARE PIN	NORTH CAROLINA
2	07630	OTHER	NORTH CAROLINA	BCBS EKG INT
3	8907630	MEDICAID	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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