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Organization
IREDELL MEMORIAL HOSPITAL, INCORPORATED
Active
Organization
IREDELL MEMORIAL HOSPITAL, INCORPORATED
Active
Parent organization
IREDELL MEMORIAL HOSPITAL, INC.
Other names
IMH Professional CRNA
Organization subpart
Yes
Provider details
NPI number
Legal business name
IREDELL MEMORIAL HOSPITAL, INC.
Authorized official
MR. ED RUSH (PRESIDENT)
(704) 873-5661
Entity
Organization
Contact information
Practice address
557 BROOKDALE DR, STATESVILLE, NC 28677
(704) 873-5661
(704) 878-4611
Mailing address
557 BROOKDALE DR, STATESVILLE, NC 28677
(704) 873-5661
(704) 878-4611
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8000167
—
NC
Enumeration date
01/25/2006
Last updated
08/18/2010
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