# STOKES REYNOLDS MEMORIAL HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033159744
- **Authorized official:** PAMELA P. TILLMAN (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (336) 593-5314

## Contact information

- **Practice address:** 1570 NC 8 AND 89 HWY N, DANBURY, NC 27016-7360
- **Practice address phone:** (336) 593-2831
- **Mailing address:** 1570 NC 8 AND 89 HWY N, DANBURY, NC 27016-7360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | HO165 | NC | Yes |

## Other

- **Enumeration date:** 06/08/2006
- **Last updated:** 03/11/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0092T | BCBS OF NORTH CAROLINA | NC |
| 05 | — | 3415166 | — | NC |