MEDICARE: THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207RC0000X	Cardiovascular Disease Physician
2	208800000X	Urology Physician
3	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1598135188
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

Provider Business Mailing Address
First Line	:	PO BOX 19305
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28219-9305
Country	:	US
Telephone Number	:	704-631-0002
Fax Number	:

Provider Business Practice Location Address
First Line	:	1237 HARDING PL
Second Line	:	STE 3300
City	:	CHARLOTTE
State	:	NC
Zip	:	28204
Country	:	US
Telephone Number	:	704-446-5860
Fax Number	:

Authorized Official
Title or Position	:	ENTERPRISE EVP
Name	:	SCOTT RISSMILLER
Credential	:
Telephone Number	:	704-355-8675

Provider Enumeration Date	:	09/25/2015
Last Update Date	:	08/11/2025

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Directions to “THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY ” Practice Location

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