# MOORESVILLE HOSPITAL MANAGMENT ASSOCIATES INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Surgical Center of Lake Norman
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811936933
- **Authorized official:** TIMOTHY PARRY ESQ (SR VP AND GENERAL COUNSEL)
- **Authorized official phone:** (239) 598-3176

## Contact information

- **Practice address:** 171 FAIRVIEW RD, MOORESVILLE, NC 28117-9500
- **Practice address phone:** (704) 660-4010
- **Mailing address:** 171 FAIRVIEW RD, MOORESVILLE, NC 28117-9500
- **Mailing address phone:** (704) 660-4010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/05/2006
- **Last updated:** 02/18/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00680 | NC BLUE CROSS SURGICENTER | NC |
| 05 | — | 3409891 | — | NC |