# STATESVILLE HMA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Davis Regional Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891738977
- **Authorized official:** TIMOTHY PARRRY ESQ (SR VP AND GENERAL COUNSEL)
- **Authorized official phone:** (239) 598-3176

## Contact information

- **Practice address:** 218 OLD MOCKSVILLE RD, STATESVILLE, NC 28625-1930
- **Practice address phone:** (704) 838-7102
- **Mailing address:** 218 OLD MOCKSVILLE RD, STATESVILLE, NC 28625-1930
- **Mailing address phone:** (704) 838-7102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/14/2006
- **Last updated:** 02/17/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3425440 | — | NC |