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Organization

DAVIE COUNTY EMERGENCY HEALTH CORP

Active
Other names
Davie County Hospital & Wake Forest Baptist Health-Davie
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN G. WALSH (ADMINISTRATOR)
(336) 702-5501
Entity
Organization

Contact information

Practice address
223 HOSPITAL ST, MOCKSVILLE, NC 27028-2038
(336) 702-5500
(336) 702-5701
Mailing address
223 HOSPITAL ST, MOCKSVILLE, NC 27028-2038
(336) 702-5500
(336) 702-5701

Taxonomy

Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
943133
NC
282NC0060X
Critical Access Hospital
943133
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3451313
NC
Enumeration date
03/05/2007
Last updated
06/21/2012
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