# THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
- **Other names:** Levine Cancer Institute
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1306269691
- **Legal business name:** THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
- **Authorized official:** SCOTT RISSMILLER (ENTERPRISE EVP)
- **Authorized official phone:** (704) 355-8675

## Contact information

- **Practice address:** 1656 RIVERCHASE BLVD, STE 1400, ROCK HILL, SC 29732-2084
- **Practice address phone:** (803) 329-9088
- **Mailing address:** PO BOX 19305, CHARLOTTE, NC 28219-9305
- **Mailing address phone:** (704) 631-0002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | — |
| 207RH0003X | Hematology & Oncology Physician | — | — | — |

## Other

- **Enumeration date:** 01/23/2014
- **Last updated:** 03/09/2023
