Organization
STOKES REYNOLDS MEMORIAL HOSPITAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA P. TILLMAN (CHIEF OPERATING OFFICER)
(336) 593-5314
Entity
Organization
Contact information
Practice address
1570 NC 8 AND 89 HWY N, DANBURY, NC 27016-7360
(336) 593-2831
Mailing address
1570 NC 8 AND 89 HWY N, DANBURY, NC 27016-7360
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
HO165
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0092T
BCBS OF NORTH CAROLINA
NC
05
—
3415166
—
NC
Enumeration date
06/08/2006
Last updated
03/11/2010
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