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Organization
IREDELL MEMORIAL HOSPITAL INCORPORATED
Active
Organization
IREDELL MEMORIAL HOSPITAL INCORPORATED
Active
Other names
Iredell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
GARY SMITH (CFO - VICE PRESIDENT)
(704) 878-4505
Entity
Organization
Contact information
Practice address
218 OLD MOCKSVILLE RD, STATESVILLE, NC 28625-1930
(704) 872-6552
Mailing address
PO BOX 5789, STATESVILLE, NC 28687-5789
(704) 872-6552
(704) 873-2694
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC0515
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3417059
—
NC
Enumeration date
05/08/2006
Last updated
06/19/2025
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