| Organization Name: | BOOMER MEDICAL CENTER, INC. |
| NPI Number: | 1609942820 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBORAH NEWMAN PIERCE (ADMINISTRATOR) |
| Mailing Address: | 156 Boomer Community Center Rd Boomer |
| State: | NC US |
| Postal Code: | 286069199 |
| Phone Number: | 3369212273 |
| Fax Number: | 3369212405 |
| NPI Enumeration Date: | 11/28/2006 |
| NPI Last Update Date: | 04/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |