Organization
MOORESVILLE HOSPITAL MANAGEMENT ASSOCIATES LLC
Active
Other names
Lake Norman Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
171 FAIRVIEW RD, MOORESVILLE, NC 28117-9500
(704) 660-4010
Mailing address
PO BOX 281418, ATLANTA, GA 30384-1418
(704) 660-4049
(704) 660-4049
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
—
—
282N00000X
General Acute Care Hospital
Primary
HO259
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00318
BLUE CROSS
NC
05
—
3400129
—
NC
01
—
34U129
MEDICARE SWING BED UNIT
—
Enumeration date
05/23/2006
Last updated
04/16/2021
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