IREDELL DAVIS BEHAVIORAL HEALTH HOSPITAL – NPI #1417783705
Psychiatric Hospital

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.

Health Care Provider Taxonomy Code for Psychiatric Hospital

IREDELL DAVIS BEHAVIORAL HEALTH HOSPITAL is a psychiatric hospital located in STATESVILLE, NC. NPPES has assigned the NPI number 1417783705 to IREDELL DAVIS BEHAVIORAL HEALTH HOSPITAL on September 12, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “IREDELL DAVIS BEHAVIORAL HEALTH HOSPITAL” is a dba name, the actual legal business name for this organization is IREDELL MEMORIAL HOSPITAL INCORPORATED. The primary taxonomy selected by this provider is 283Q00000X from the Health Care Provider Taxonomy code set, which is classified as Psychiatric Hospital.

The NPI profile was last updated on Dec 06, 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 DAVIS BEHAVIORAL HEALTH HOSPITAL below.

NPI Profile for
IREDELL MEMORIAL HOSPITAL INCORPORATED

NPI Number
1417783705
Enumeration Date

(about 2 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 MEMORIAL HOSPITAL INCORPORATED
Doing Business As (dba): IREDELL DAVIS BEHAVIORAL HEALTH HOSPITAL
Primary location
218 OLD MOCKSVILLE RD
STATESVILLE, NC 28625-1930
Phone: (704) 873-0281 Fax:
Mailing address
PO BOX 896322
CHARLOTTE, NC 28289-6322
Phone: Fax:
Organization Subpart
No
Authorized Official
EARL SAFIN
IREDELL HEALTH SYSTEM
Phone: (704) 878-7609
Updated
Certification Date
Dec 06, 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.

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
283Q00000X
- Psychiatric Hospital (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.