Organization · Type 2 NPI

Iredell Physician Network LLC

Ambulatory Surgical Clinic/Center · Statesville, NC

NPI number 1578073631 Active

Practice location

701 Bryant St
Statesville, NC 28677-4142

Call (704) 380-2711 Map

Fax (704) 380-2747

Mailing address

PO Box 896199
Charlotte, NC 28289-4107

Specialties and licenses

Taxonomy	Code	License
Ambulatory Surgical Clinic/Center Primary	261QA1903X	None listed

Ambulatory Surgical Clinic/Center: Definition to come...

Other ambulatory surgical clinic/center providers in Statesville

Iredell Surgical Associates, LLPAmbulatory Surgical Clinic/Center Statesville, NC NPI 1437269800
Iredell Head, Neck and Ear Ambulatory Surgery Center, Inc.Ambulatory Surgical Clinic/Center Statesville, NC NPI 1710956529

See all in Statesville →

NPI record

NPI: 1578073631
Entity type: Organization (Type 2)
Issued: Oct 3, 2017
Last updated: May 1, 2024
Status: Active
Subpart: Yes of Iredell Physician Network LLC

Other names

<unavail>
Iredell Ambulatory Surgery Center · doing business as

Authorized official

Joanie M Cochran
Credentialing Coordinator
(336) 306-9755

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1578073631

Iredell Physician Network LLC's National Provider Identifier is 1578073631, issued on Oct 3, 2017. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Statesville, NC. The record was last updated on May 1, 2024.