# THE CHARLOTTE - MECKLENBURG HOSPITAL AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE CHARLOTTE - MECKLENBURG HOSPITAL AUTHORITY
- **Other names:** Jesse Helms Nursing Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1437247970
- **Legal business name:** THE CHARLOTTE - MECKLENBURG HOSPITAL AUTHORITY
- **Authorized official:** GREG GOMBAR (EXECUTIVE VICE PRESIDENT/CFO)
- **Authorized official phone:** (704) 355-2154

## Contact information

- **Practice address:** 1411 DOVE ST, MONROE, NC 28112-5014
- **Practice address phone:** (704) 283-3285
- **Practice address fax:** (704) 283-3482
- **Mailing address:** 600 HOSPITAL DR, MONROE, NC 28112-6000
- **Mailing address phone:** (704) 283-3285
- **Mailing address fax:** (704) 283-3482

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | H0050 | NC | Yes |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 03/05/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3405097 | — | NC |