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HUGH CHATHAM MEMORIAL HOSPITAL INC NPI 1053597856


NPI Information

NPI: 1053597856
Provider Name: HUGH CHATHAM MEMORIAL HOSPITAL INC

Doing Business As: YADKIN VALLEY UROLOGY

Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 34D1079310

Address:
100 CHATHAM MEDICAL PARK
ELKIN, NC
ZIP 28621
Phone: (336) 526-0040
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HUGH CHATHAM MEMORIAL HOSPITAL INC is an urology in Elkin, NC. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. HUGH CHATHAM MEMORIAL HOSPITAL INC NPI is 1053597856. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Yadkin Valley Urology.

The provider's business location address is:

100 CHATHAM MEDICAL PARK
ELKIN, NC
ZIP 28621-445
Phone: (336) 526-0040

The provider's authorized official is Don Trippel .
The authorized official title is Cfo and has the following contact phone number (336) 527-7216.

The CLIA number assigned to this NPI record is 34D1079310 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/11/2008 and was last updated on 1/11/2008.


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
1208800000XUrology9700498NORTH CAROLINAYes

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
1340097MEDICARE OSCAR/CERTIFICATIONNORTH 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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