Healthcare Provider Details

I. General information

NPI: 1841259462
Provider Name (Legal Business Name): STANLY REGIONAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2006
Last Update Date: 02/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 YADKIN ST
ALBEMARLE NC
28001-3441
US

IV. Provider business mailing address

301 YADKIN ST
ALBEMARLE NC
28001-3441
US

V. Phone/Fax

Practice location:
  • Phone: 704-984-4000
  • Fax:
Mailing address:
  • Phone: 704-984-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License NumberH0008
License Number StateNC

VIII. Authorized Official

Name: AL TAYLOR
Title or Position: CEO
Credential:
Phone: 704-984-4347