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

Active since September 12, 2024CLIA 34D0662997 · Waiver
218 OLD MOCKSVILLE RD, STATESVILLE, NC 28625(704) 873-0281 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Dec 6, 2024, Sep 12, 2024 (2 updates tracked since 2024).

About Iredell Davis Behavioral Health Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IREDELL DAVIS BEHAVIORAL HEALTH HOSPITAL (NPI 1417783705) is a healthcare organization registered as a psychiatric hospital in Statesville, North Carolina and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through January 2, 2027 and lists Earl Richard Safin, Iredell Health System, as its authorized official.

NPPES Registry Identity

NPI1417783705
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameIREDELL MEMORIAL HOSPITAL INCORPORATED
Location Address218 OLD MOCKSVILLE RDStatesville, NC 28625-1930
Mailing AddressPo Box 896322Charlotte, NC 28289-6322
Phone(704) 873-0281
Organization SubpartNo
Authorized OfficialEarl Richard SafinIredell Health System · (704) 878-7609
Enumeration DateSeptember 12, 2024
Last NPPES UpdateDecember 6, 20242 updates tracked since enumeration
NPPES CertifiedDecember 6, 2024
✔ NPI 1417783705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
Definition
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.
218 OLD MOCKSVILLE RD, Statesville, NC 28625
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Other Names 1

Doing Business AsIredell Davis Behavioral Health Hospital

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D0662997

Iredell Davis Behavioral Health Hospital · Statesville, NC
Active · expires Jan 2, 2027
CLIA Number34D0662997
Laboratory TypeBehavioral Health Hospita
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorDr. Asha C. Sigei
Laboratory Phone(704) 878-4948
Laboratory LocationIredell Davis Behavioral Health Hospital218 Old Mocksville Road, Statesville, NC 28625
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTH SOUND INPATIENT PHYSICIANS, PLLC
Hospitalist
218 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Iredell County (704) 873-0281
RIVER REGION PSYCHIATRY ASSOCIATES LLC
Psychiatry & Neurology (Psychiatry)
218 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Iredell County (704) 873-0281
SARAH HANKS DNP, PMHNP-BC
Nurse Practitioner
218 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Iredell County (704) 873-0281
MARK B WILLIAMSON, MD PA
Orthopaedic Surgery
218 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Iredell County (704) 838-7091
MR. SCOTT M RHODES PT
Physical Therapist
218 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Iredell County (704) 838-7620
MEGAN W OXENTINE AGPCNP
Nurse Practitioner (Primary Care)
218 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Iredell County (704) 873-0281
STATESVILLE HMA LLC
General Acute Care Hospital
218 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Iredell County (704) 838-7102
MR. RODNEY LEONARD MCKNIGHT JR. CRNA
Nurse Anesthetist, Certified Registered
218 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Iredell County (704) 873-0281

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Iredell Memorial Hospital Incorporated's NPI number?

The NPI number for Iredell Memorial Hospital Incorporated is 1417783705. It was assigned to this organization in the NPPES registry on September 12, 2024. The provider is doing business as Iredell Davis Behavioral Health Hospital.

Where is Iredell Memorial Hospital Incorporated located?

Iredell Memorial Hospital Incorporated is located at 218 Old Mocksville Rd, Statesville, NC 28625. The listed phone number is (704) 873-0281.

What is Iredell Memorial Hospital Incorporated's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

Does Iredell Memorial Hospital Incorporated hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0662997) is associated with this NPI, valid through January 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Iredell Memorial Hospital Incorporated accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc and 1 other insurer list Iredell Memorial Hospital Incorporated as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Iredell Memorial Hospital Incorporated was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.