Iredell Memorial Hosp Snf Icf

LBN: Iredell Memorial Hosp Snf Icf
Iredell Memorial Hosp Snf Icf is an health care organization with primary practice located at 557 Brookdale Drive , Statesville NC 28677-4107. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Iredell Memorial Hosp Snf Icf can be contacted via phone (704) 873-5661, or through Rush, Ed via phone (704) 873-5661.

Contact Information

Primary practice address
557 Brookdale Drive Statesville NC 28677-4107
Phone: (704) 873-5661
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rush, Ed
Phone: (704) 873-5661

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X H0164 North Carolina

Profile Details

NPI number 1821284761
LBN Legal business name Iredell Memorial Hosp Snf Icf
DBA Doing business as
Authorized official Rush, Ed
Entity Organization
Organization subpart 1 No
Enumeration date Sep 24th, 2007
Last updated Sep 24th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821284761 NPPES
North Carolina MEDICAID 3496054

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