IREDELL DAVIS BEHAVIORAL HEALTH HOSPITAL
NPI 1417783705
Psychiatric Hospital in Statesville, NC

NPI Status: Active since September 12, 2024

Contact Information

218 OLD MOCKSVILLE RD
STATESVILLE, NC
ZIP 28625
Phone: (704) 873-0281

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  • Organization
  • Psychiatric Hospital
  • Accepts Insurance
  • CLIA Number: 34D0662997
  • CLIA Cert. Type: Other - BEHAVIORAL HEALTH HOSPITA
  • CLIA Exp. Date: 01-02-2027

About IREDELL DAVIS BEHAVIORAL HEALTH HOSPITAL

This page provides the complete NPI Profile along with additional information for Iredell Davis Behavioral Health Hospital, a provider established in Statesville, North Carolina operating as a Psychiatric Hospital. The healthcare provider is registered in the NPI registry with number 1417783705 assigned on September 2024. The practitioner's primary taxonomy code is 283Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Iredell Davis Behavioral Health Hospital. The authorized official of this NPI record is Earl Richard Safin (Iredell Health System)

NPI
1417783705
Provider Legal Name
IREDELL MEMORIAL HOSPITAL INCORPORATED
Other Organization Name
IREDELL DAVIS BEHAVIORAL HEALTH HOSPITAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
218 OLD MOCKSVILLE RD STATESVILLE, NC 28625
Location Phone
(704) 873-0281
Mailing Address
PO BOX 896322 CHARLOTTE, NC 28289
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-12-2024
Last Update Date
12-06-2024
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatric Hospital

Taxonomy Code
283Q00000X
Type
Hospitals
Taxonomy Description
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Gold - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard A | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Bronze Classic 4700 - HMO
  • Bronze Classic 4700 | with Atrium Health - HMO
  • Bronze Classic Standard - HMO
  • Bronze Classic Standard | with Atrium Health - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Bronze Elite + PCP Saver Plus | with Atrium Health - HMO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health - HMO
  • Bronze Simple Chronic Care CKM | with Atrium Health - HMO
  • Bronze Simple Diabetes | with Atrium Health - HMO
  • Gold Classic Standard - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals - HMO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Bronze Standard+ Dental + Vision (No Referrals) - HMO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Advantage + ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Gold Standard (No Referrals) - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

EARL RICHARD SAFIN

Authorized Official Title
IREDELL HEALTH SYSTEM
Authorized Official Phone
(704) 878-7609

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D0662997
Facility Type
Other - BEHAVIORAL HEALTH HOSPITA
Certificate Effective Date
January 03, 2025
Certificate Expiration Date
January 02, 2027
Laboratory Director
DR. ASHA C. SIGEI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Iredell Davis Behavioral Health Hospital to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for IREDELL DAVIS BEHAVIORAL HEALTH HOSPITAL

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1417783705, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
1
Doubled → 2
Pos 4
7
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
8
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
0
Doubled → 0
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 7 → 14 → 5 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 2 + 7 + 1 + 4 + 8 + 6 + 7 + 0 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1417783705.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Anesthesiology
218 OLD MOCKSVILLE RD, ANESTHESIA DEPT
STATESVILLE, NC 28625
Anesthesiology
218 OLD MOCKSVILLE RD, ANESTHESIA DEPT
STATESVILLE, NC 28625
Nurse Anesthetist, Certified Registered
218 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Nurse Anesthetist, Certified Registered
218 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Nurse Anesthetist, Certified Registered
218 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Nurse Anesthetist, Certified Registered
218 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Nurse Anesthetist, Certified Registered
218 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Nurse Anesthetist, Certified Registered
218 OLD MOCKSVILLE RD, DAVIS REGIONAL MEDICAL CENTER
STATESVILLE, NC 28625
Nurse Anesthetist, Certified Registered
218 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Nurse Anesthetist, Certified Registered
218 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Skilled Nursing Facility
218 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Orthopaedic Surgery
218 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Nurse Anesthetist, Certified Registered
218 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Counselor
218 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Orthopaedic Surgery
218 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Hospitalist
218 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Physical Therapist
218 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Internal Medicine (Cardiovascular Disease)
218 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Physical Therapist (Orthopedic)
218 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Internal Medicine (Cardiovascular Disease)
218 OLD MOCKSVILLE RD
STATESVILLE, NC 28625

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417783705, enumerated as an "organization" on September 12, 2024.

The provider is located at 218 OLD MOCKSVILLE RD STATESVILLE, NC 28625 and the phone number is (704) 873-0281.

Psychiatric Hospital with taxonomy code 283Q00000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.