IMH PROFESSIONAL CRNA
NPI 1548230204
General Acute Care Hospital in Statesville, NC

Active since January 25, 2006CLIA 34D0247318 · Accreditation
557 BROOKDALE DR, STATESVILLE, NC 28677(704) 873-5661(704) 878-4611 Get Directions Write a Review

NPPES record last updated: August 18, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Imh Professional Crna NPPES

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

IMH PROFESSIONAL CRNA (NPI 1548230204) is a healthcare organization registered as a general acute care hospital in Statesville, North Carolina and active in the NPI registry since January 2006. The organization holds an CLIA Accreditation certificate valid through February 27, 2027 and lists Ed Rush, President, as its authorized official.

NPPES Registry Identity

NPI1548230204
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameIREDELL MEMORIAL HOSPITAL, INCORPORATED
Location Address557 BROOKDALE DRStatesville, NC 28677
Mailing Address557 Brookdale DrStatesville, NC 28677 · (704) 873-5661 · Fax (704) 878-4611
Fax(704) 878-4611
Organization SubpartYesParent: Iredell Memorial Hospital, Inc.
Authorized OfficialEd RushPresident · (704) 873-5661
Enumeration DateJanuary 25, 2006
Last NPPES UpdateAugust 18, 2010
✔ NPI 1548230204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
557 BROOKDALE DR, Statesville, NC 28677

Other Names 1

Doing Business AsImh Professional Crna

Other Identifiers 2

Medicare ID-Type Unspecified261200NC · Medicare Provider Number
Medicaid8000167NC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Imh Professional Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

51

Medicare enrollment records show 51 clinicians reassign Medicare billing to Imh Professional Crna, which bills Medicare for the services they deliver. Of these, 13 practice at this address and 15 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Certified Registered Nurse Anesthetist (CRNA)50
Family Practice1

Nearest to this location (20)

See all 51
Certified Registered Nurse Anesthetist (CRNA)
NPI 1194748665
557 BROOKDALE DR
Statesville, NC 28677
(704) 873-5661
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1306869870
557 BROOKDALE DR
Statesville, NC 28677
(704) 873-5661
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1093739575
557 BROOKDALE DR
Statesville, NC 28677
(704) 873-5661
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1609890888
557 BROOKDALE DR
Statesville, NC 28677
(704) 873-5661
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1033132485
557 BROOKDALE DR
Statesville, NC 28677
(704) 873-5561
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1922022102
557 BROOKDALE DR
Statesville, NC 28677
(704) 873-5661
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1053322529
557 BROOKDALE DR
Statesville, NC 28677
(704) 873-5661
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1336150192
557 BROOKDALE DR
Statesville, NC 28677
(704) 873-5661
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1679719546
557 BROOKDALE DRIVE
Statesville, NC 28677
(704) 873-5661
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1649416462
557 BROOKDALE DRIVE
Statesville, NC 28677
(704) 873-5661
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1366778383
557 BROOKDALE DRIVE
Statesville, NC 28677
(704) 873-5661
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1598524076
557 BROOKDALE DR
Statesville, NC 28677
(704) 873-5661
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1255807517
557 BROOKDALE DR
Statesville, NC 28677
(704) 873-5661
✔ Accepts MedicareSame address
Family Practice
NPI 1457368185
310 DAVIE AVE
Statesville, NC 28677
(704) 873-3269
✔ PECOS✔ Accepts Medicare0.9 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1821053182
218 OLD MOCKSVILLE RD
Statesville, NC 28625
(704) 873-0281
✔ Accepts Medicare3.1 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1538730163
653 BLUEFIELD RD
Mooresville, NC 28117
(734) 717-5481
14 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1184809451
146 MEDICAL PARK RD 108
Mooresville, NC 28117
(704) 662-0877
✔ Accepts Medicare17 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1528700580
146 MEDICAL PARK RD STE 108
Mooresville, NC 28117
(704) 662-0877
✔ PECOS✔ Accepts Medicare17 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1154666113
146 MEDICAL PARK RD STE 108
Mooresville, NC 28117
(704) 662-0877
✔ Accepts Medicare17 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1134565526
810 FAIRGROVE CHURCH RD
Hickory, NC 28602
(828) 326-3000
✔ Accepts Medicare23 mi
See all 51 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Accreditation 34D0247318

Iredell Memorial Hospital, Inc · Statesville, NC
Active · expires Feb 27, 2027
CLIA Number34D0247318
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Asha C. Sigei
Laboratory Phone(704) 873-5661
Laboratory LocationIredell Memorial Hospital, Inc557 Brookdale Drive, Statesville, NC 28677
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 1548230204. It was assigned to this organization in the NPPES registry on January 25, 2006. The provider is doing business as Imh Professional Crna.

Where is Iredell Memorial Hospital, Incorporated located?

Iredell Memorial Hospital, Incorporated is located at 557 Brookdale Dr, Statesville, NC 28677. The listed phone number is (704) 873-5661.

What is Iredell Memorial Hospital, Incorporated's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Is Iredell Memorial Hospital, Incorporated enrolled in Medicare?

Yes. Iredell Memorial Hospital, Incorporated is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Iredell Memorial Hospital, Incorporated?

According to the CMS Revalidation Reassignment List (October 2026 release), 51 clinicians in 2 Medicare specialties reassign their Medicare billing to Iredell Memorial Hospital, Incorporated. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (50) and Family Practice (1). Of these, 13 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Iredell Memorial Hospital, Incorporated hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 34D0247318) is associated with this NPI, valid through February 27, 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 AmeriHealth Caritas Next 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 August 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.