CALDWELL MEMORIAL HOSPITAL, INC. — NPI 1669752341 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Occupational Medicine in HUDSON, NC)

CMS-1500 Box 24J / 33a • NPI

1669752341

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

2083X0100X (CMS 84)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Occupational Medicine

Box 32 Service Location & ZIP+4

270 PINE MOUNTAIN RD, SUITE 3, HUDSON, NC, 28638-2605

✓ 9-Digit EDI 837 ZIP+4 (28638-2605)

Practice Phone & Referral Fax

(828) 757-6330

Fax: (828) 757-6349

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1669752341 (CALDWELL MEMORIAL HOSPITAL, INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1669752341` (NPI-2 Organization / Facility)
Provider / Legal Name	CALDWELL MEMORIAL HOSPITAL, INC.
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Occupational Medicine NUCC Code: `2083X0100X` (Preventive Medicine, Occupational Medicine)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	270 PINE MOUNTAIN RD, SUITE 3, HUDSON, NC, 28638-2605
Practice Telephone / Fax	Tel: (828) 757-6330 \| Fax: (828) 757-6349
Administrative Mailing Address	321 MULBERRY ST SW, LENOIR, NC, 28645-5720
Enumeration & Last Sync	Enumerated: 2011-08-25 \| CMS Record Updated: 2025-01-21
Authorized Official	KAREN SHADOWENS (CFO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

270 PINE MOUNTAIN RD, SUITE 3, HUDSON, NC, 28638-2605

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Plain-English Taxonomy & CMS Crosswalk (2083X0100X)

What Does Taxonomy Code 2083X0100X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2083X0100X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Occupational Medicine"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 84 (Physician/Preventive Medicine)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Preventive Medicine, Occupational Medicine for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CALDWELL MEMORIAL HOSPITAL, INC.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207Q00000X` — Family Medicine Plain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)	State: N/A \| License: `Verified` \| Primary: Secondary
`2083X0100X` — Preventive Medicine, Occupational Medicine Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Occupational Medicine	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CALDWELL MEMORIAL HOSPITAL, INC. (NPI #1669752341)