Organization
IREDELL MEMORIAL HOSPITAL INCORPORATED
Active
Other names
Iredell Memorial Hospital Skilled Nursing Facility
Organization subpart
No
Provider details
NPI number
Authorized official
GARY SMITH (CFO)
(704) 878-4505
Entity
Organization
Contact information
Practice address
557 BROOKDALE DR, STATESVILLE, NC 28677-4107
(704) 873-5661
(704) 878-4611
Mailing address
557 BROOKDALE DR, STATESVILLE, NC 28677-4107
(704) 873-5661
(704) 878-4611
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
H0164
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3405306
—
NC
Enumeration date
01/20/2006
Last updated
06/24/2025
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