Iredell Memorial Hospital Snf Icf
General Acute Care Hospital in Statesville, NC. Organization (NPI-2).
NPI number1588709596
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1588709596
- Entity type
- Organization (NPI-2)
- Legal business name
- Iredell Memorial Hospital Snf Icf
- Organization subpart
- No
- Enumeration date
- Feb 20, 2007
- Last updated
- Aug 22, 2020
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 | – | NC | Yes |
Practice location
557 Brookdale DrStatesville, NC 28677-4107
Phone 704-873-5661
Mailing address
557 Brookdale DrStatesville, NC 28677-4107
Phone 704-873-5661
Authorized official
Ed Rush
President
7048735661
Is something wrong?
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