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Organization
STOKES REYNOLDS MEMORIAL HOSPITAL INC
Active
Organization
STOKES REYNOLDS MEMORIAL HOSPITAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA P. TILLMAN (CHIEF OPERATING OFFICER)
(336) 593-5314
Entity
Organization
Contact information
Practice address
1570 NC 8 AND 89 HWY N, DANBURY, NC 27016-7360
(336) 593-2831
Mailing address
1570 NC 8 AND 89 HWY N, DANBURY, NC 27016-7360
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
HO165
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0092T
BCBS OF NORTH CAROLINA
NC
05
—
3415166
—
NC
Enumeration date
06/08/2006
Last updated
03/11/2010
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