WATAUGA MEDICAL CENTER INC – NPI #1811658081
Internal Medicine

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 is a provider located in JEFFERSON, NC. NPPES has assigned the NPI number 1811658081 to WATAUGA MEDICAL CENTER INC on January 10, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was last updated on Jan 15, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WATAUGA MEDICAL CENTER INC below.

NPI Profile for
WATAUGA MEDICAL CENTER INC

NPI Number
1811658081
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WATAUGA MEDICAL CENTER INC
Other name(s)
All associated names:

Doing Business As (dba)
ARHS Heart & Vascular Center - Ashe
Primary location
200 HOSPITAL AVE
SEGRAVES HALL 1
JEFFERSON, NC 28640
Phone: (828) 264-9664 Fax:
Mailing address
155 FURMAN RD STE 101
BOONE, NC 28607-5049
Phone: (828) 262-4133 Fax:
Organization Subpart
No
Authorized Official
MARY LONG
SVP MEDICAL STAFF RELATIONS
Phone: (828) 262-4133
Updated
Certification Date
Jan 15, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.1068.1
Content Type
Affiliation
Y
Endpoint Location
2720 DUNDEE RD # 302,
NORTHBROOK, IL 77025-1669