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Organization

IREDELL MEMORIAL HOSPITAL SNF ICF

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ED RUSH (PRESIDENT)
(704) 873-5661
Entity
Organization

Contact information

Practice address
557 BROOKDALE DR, STATESVILLE, NC 28677-4107
(704) 873-5661
Mailing address
557 BROOKDALE DR, STATESVILLE, NC 28677-4107
(704) 873-5661

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3496054
NC
Enumeration date
02/20/2007
Last updated
08/22/2020
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