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NPI Code Detail

MEDICARE: CLEVELAND COUNTY HEALTHCARE SYSTEM

MEDICARE: CLEVELAND COUNTY HEALTHCARE SYSTEM
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care Hospital

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3235034GOTHERNCMEDICARE PROFEE
5235034HOTHERNCMEDICARE CRNA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100303OTHERNCBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093708711
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLEVELAND COUNTY HEALTHCARE SYSTEM
Provider Business Mailing Address
First Line : PO BOX 60548
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-0548
Country : US
Telephone Number : 980-487-7427
Fax Number : 980-487-7416
Provider Business Practice Location Address
First Line : 706 WEST KINGS STREET
Second Line :
City : KINGS MOUNTAIN
State : NC
Zip : 28086-2708
Country : US
Telephone Number : 980-487-7427
Fax Number : 980-487-7416
Authorized Official
Title or Position : VICE PRESIDENT CFO
Name : MRS. ROSE L COYNE
Credential :
Telephone Number : 980-487-3802
Provider Enumeration Date : 08/29/2005
Last Update Date : 10/09/2009

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Directions to “CLEVELAND COUNTY HEALTHCARE SYSTEM ” Practice Location

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