Organization
IREDELL MEMORIAL HOSPITAL, INCORPORATED
Active
Parent organization
IREDELL MEMORIAL HOSPITAL, INCORPORATED
Other names
IMH Diabetes Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
IREDELL MEMORIAL HOSPITAL, INCORPORATED
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
163WD0400X
Diabetes Educator Registered Nurse
Primary
003515
NC
Other
Enumeration date
12/18/2006
Last updated
08/03/2010
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