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Organization
IREDELL MEMORIAL HOSPITAL INCORPORATED
Active
Organization
IREDELL MEMORIAL HOSPITAL INCORPORATED
Active
Other names
Iredell Memorial Hospital Skilled Nursing Facility
Organization subpart
No
Provider details
NPI number
Authorized official
GARY SMITH (CFO)
(704) 878-4505
Entity
Organization
Contact information
Practice address
557 BROOKDALE DR, STATESVILLE, NC 28677-4107
(704) 873-5661
(704) 878-4611
Mailing address
557 BROOKDALE DR, STATESVILLE, NC 28677-4107
(704) 873-5661
(704) 878-4611
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
H0164
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3405306
—
NC
Enumeration date
01/20/2006
Last updated
06/24/2025
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