IREDELL SURGICAL CENTER – NPI #1437269800
Clinic/Center

IREDELL SURGICAL CENTER is an AHC clinic located in STATESVILLE, NC. NPPES has assigned the NPI number 1437269800 to IREDELL SURGICAL CENTER on August 30, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “IREDELL SURGICAL CENTER” is a dba name, the actual legal business name for this organization is IREDELL SURGICAL ASSOCIATES, LLP. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 2 years ago on Jan 29, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for IREDELL SURGICAL CENTER below.

NPI Profile for
IREDELL SURGICAL ASSOCIATES, LLP

NPI Number
1437269800
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
IREDELL SURGICAL ASSOCIATES, LLP
Doing Business As (dba): IREDELL SURGICAL CENTER
Primary location
1720 DAVIE AVE
STATESVILLE, NC 28677-3522
Phone: (704) 871-0081 Fax: (704) 871-0086
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARY ELKINS
ADMINISTRATOR
Phone: (803) 448-1022
Updated
Certification Date
Jan 29, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for IREDELL SURGICAL CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherAMB SURG CTR BC/BS #NC00650
medicaidNC3409866
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.