Imh Professional Crna

LBN: Iredell Memorial Hospital, Incorporated
Imh Professional Crna is an health care organization with primary practice located at 557 Brookdale Dr , Statesville NC 28677. The organization recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as the primary health care specialty. Iredell Memorial Hospital, Incorporated can be contacted via phone (704) 873-5661, or through Rush, Ed via phone (704) 873-5661.

Contact Information

Primary practice address
557 Brookdale Dr Statesville NC 28677
Phone: (704) 873-5661
Fax: (704) 878-4611
Website:
Map and Directions
Authorized official contact:
Name: Rush, Ed
Phone: (704) 873-5661

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X

Profile Details

NPI number 1548230204
LBN Legal business name Iredell Memorial Hospital, Incorporated
DBA Doing business as Imh Professional Crna
Authorized official Rush, Ed
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 25th, 2006
Last updated Aug 18th, 2010 - about 14 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 1548230204 NPPES
North Carolina MEDICAID 8000167

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