OrganizationActive
Iredell Physician Network LLC
NPI 1578073631 · Ambulatory Surgical Clinic/Center · Statesville, NC
Provider details
- NPI number
- 1578073631
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Iredell Physician Network LLC
- Organization subpart
- Yes
- Authorized official
- Joanie Cochran, Credentialing Coordinator(336) 306-9755
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
701 Bryant St
Statesville, NC 28677-4142
Phone: (704) 380-2711
Fax: (704) 380-2747
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 896199
Charlotte, NC 28289-4107
Other names (DBA / former)
- Doing business as
- Iredell Ambulatory Surgery Center
Registry dates
- Enumerated
- 2017-10-03
- Last updated
- 2024-05-01
- Certified
- 2024-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.