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Organization
CLEVELAND COUNTY HEALTHCARE SYSTEM
Active
Organization
CLEVELAND COUNTY HEALTHCARE SYSTEM
Active
Other names
Kings Mountain Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSE L COYNE (VICE PRESIDENT CFO)
(980) 487-3802
Entity
Organization
Contact information
Practice address
706 WEST KINGS STREET, KINGS MOUNTAIN, NC 28086-2708
(980) 487-7427
(980) 487-7416
Mailing address
PO BOX 60548, CHARLOTTE, NC 28260-0548
(980) 487-7427
(980) 487-7416
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00303
BCBS
NC
01
—
235034G
MEDICARE PROFEE
NC
01
—
235034H
MEDICARE CRNA
NC
05
—
3400037
—
NC
01
—
8000153
NC MEDICAID CRNA
NC
01
—
8907690
NC MEDICAID PROFEE
NC
01
—
NPA951
SC MEDICAID
NC
Enumeration date
08/29/2005
Last updated
10/09/2009
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