NPIMap

Organization Active NPI

Mooresville Hospital Management Associates LLC

Doing business as Lake Norman Regional Medical Center

  • General Acute Care Hospital
  • Mooresville, NC
National Provider Identifier
1073568754
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
HO259 Issued in NC
Legal business name
MOORESVILLE HOSPITAL MANAGEMENT ASSOCIATES LLC
Doing business as
Lake Norman Regional Medical Center
Practice address
171 Fairview Rd
Mooresville, NC 28117-9500
Phone
(704) 660-4010
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paula M Lalor
Title
Director/Delegated Official
Phone
(629) 215-3953

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X
General Acute Care Hospital 282N00000X HO259 NC Primary

Addresses

Primary practice location

171 Fairview Rd
Mooresville, NC 28117-9500

Mailing address

PO Box 281418
Atlanta, GA 30384-1418
Phone (704) 660-4049

Other identifiers 3

IdentifierTypeStateIssuer
34U129OtherMEDICARE SWING BED UNIT
00318OtherNCBLUE CROSS
3400129MedicaidNC

Other names 1

  • Lake Norman Regional Medical Center Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

  • Mooresville PPM LLC

    dba Lake Norman Orthopedic Spine Center

    • Orthopaedic Surgery of the Spine Physician
    • Mooresville, NC
    • NPI 1497032304

    Member Of

    NPD member

Locations

156 Centre Church Rd 204
Mooresville, NC 28117
Phone (704) 658-1050

171 Fairview Rd
Ste 101
Mooresville, NC 28117

131 Medical Park Rd
Ste 100
Mooresville, NC 28117
Phone (704) 660-4570

134 Medical Park Rd
Ste 105
Mooresville, NC 28117
Phone (704) 660-2622

1424B Fern Creek Dr
Statesville, NC 28625
Phone (704) 660-4788

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1073568754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 281418",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303841418",
            "telephone_number": "704-660-4049",
            "fax_number": "704-660-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 FAIRVIEW RD",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179500",
            "telephone_number": "704-660-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORESVILLE HOSPITAL MANAGEMENT ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "629-215-3953"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NC",
            "license": "HO259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SWING BED UNIT",
            "identifier": "34U129",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00318",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3400129",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Norman Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lake Norman Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.