Statesville Hma LLC
General Acute Care Hospital in Statesville, NC. Organization (NPI-2).
NPI number1154375178
StatusActive
Last updated in NPPESApr 10, 2024
Details
- NPI
- 1154375178
- Entity type
- Organization (NPI-2)
- Legal business name
- Statesville Hma LLC
- Organization subpart
- No
- Enumeration date
- May 22, 2006
- Certification date
- Apr 10, 2024
- Last updated
- Apr 10, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 282N00000X | General Acute Care Hospital | HO248 | NC | Yes |
Other names
- Davis Regional Medical Center (Doing Business As)
Practice location
218 Old Mocksville RdStatesville, NC 28625-1930
Phone 704-838-7102
Mailing address
Po Box 402332Atlanta, GA 30384-2332
Phone 704-873-0281
Authorized official
Paula M Lalor
Director/Delegated Official
6292153953
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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