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Organization
MERCY RESTORATIVE CARE HOSPITAL, INC
Active
Organization
MERCY RESTORATIVE CARE HOSPITAL, INC
Active
Other names
Carolinas Specialty Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN CLAYTON (VP, REVENUE CYCLE)
(704) 887-7283
Entity
Organization
Contact information
Practice address
2001 VAIL AVE, SEVENTH FLOOR SOUTH, CHARLOTTE, NC 28207-1219
(704) 335-9113
Mailing address
2001 VAIL AVE, SEVENTH FLOOR SOUTH, CHARLOTTE, NC 28207-1219
(704) 335-9113
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2352781
MEDICARE GROUP PROVIDER NUMBER
—
Enumeration date
09/08/2008
Last updated
09/08/2008
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