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WATAUGA MEDICAL CENTER INC NPI 1861567893


NPI Information

NPI: 1861567893
Provider Name: WATAUGA MEDICAL CENTER INC

Doing Business As: WATAUGA MEDICAL CENTER

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
336 DEERFIELD RD
BOONE, NC
ZIP 28607
Phone: (828) 262-4100
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WATAUGA MEDICAL CENTER INC is a hematology and oncology internal medicine in Boone, NC. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. WATAUGA MEDICAL CENTER INC NPI is 1861567893. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Watauga Medical Center.

The provider's business location address is:

336 DEERFIELD RD
BOONE, NC
ZIP 28607-008
Phone: (828) 262-4100
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 11/22/2006 and was last updated on 1/11/2019.


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
1207RH0003XInternal MedicineHematology & OncologyYes
22085R0001XRadiologyRadiation OncologyNo

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
107630OTHERNORTH CAROLINABCBS ONCOLOGY
28907630MEDICAIDNORTH 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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