Organization
STOKES REYNOLDS MEMORIAL HOSPITAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA P TILLMAN (CHIEF OPERATING OFFICER)
(336) 593-5314
Entity
Organization
Contact information
Practice address
1570 NC 8 AND 89 HWY N, DANBURY, NC 27016-7360
(336) 593-2831
(336) 593-5350
Mailing address
1570 NC 8 AND 89 HWY N, DANBURY, NC 27016-7360
(336) 593-2831
(336) 593-5350
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
HO165
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00527
BCBS OF NORTH CAROLINA
NC
01
—
0258R
BCBS MULTI-SPECIALITY #
NC
01
—
260277
CRNA GROUP#
NC
05
—
3401317
—
NC
01
—
830HOS
PARTNERS CHOICE
NC
Enumeration date
12/21/2006
Last updated
04/21/2010
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