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NPI Code Detail

MEDICARE: CLEVELAND HEALTH VENTURES

MEDICARE: CLEVELAND HEALTH VENTURES
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
1207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255585899
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLEVELAND HEALTH VENTURES
Provider Business Mailing Address
First Line : PO BOX 601884
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-1884
Country : US
Telephone Number : 828-245-3158
Fax Number : 828-247-6484
Provider Business Practice Location Address
First Line : 249 OAK ST
Second Line :
City : FOREST CITY
State : NC
Zip : 28043-3585
Country : US
Telephone Number : 828-245-3158
Fax Number : 828-247-6484
Authorized Official
Title or Position : SENIOR VICE PRESIDENT OF OPERATIONS
Name : DANIEL L WIENS
Credential :
Telephone Number : 704-355-0648
Provider Enumeration Date : 11/10/2008
Last Update Date : 02/05/2013

Similar Medicare Providers

1518961275 — DR. BRIAN WAYNE BELL M.D.
Practice Location Address:
249 OAK ST
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28043-3585
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1912948084 — MR. MICHAEL BRANDON WATERS LPT
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1629156963 — FOOTHILLS FAMILY HEALTH CARE
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1417399403 — CAROLINAS PHYSICIANS NETWORK, INC.
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1598209553 — SHERI HYDER COUCH
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1710404421 — DONNA LYNN HEWITT FNP-C
Practice Location Address:
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Directions to “CLEVELAND HEALTH VENTURES ” Practice Location

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