# CLEVELAND COUNTY HEALTHCARE SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kings Mountain Hospital SNF
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568554863
- **Authorized official:** MRS. ROSE L COYNE (VICE PRESIDENT CFO)
- **Authorized official phone:** (704) 487-3802

## Contact information

- **Practice address:** 706 W KINGS STREET, KINGS MOUNTAIN, NC 28086
- **Practice address phone:** (704) 476-7445
- **Practice address fax:** (704) 476-7417
- **Mailing address:** 201 E GROVER STREET, CLEVELAND COUNTY HEALTHCARE SYSTEM, SHELBY, NC 28150
- **Mailing address phone:** (704) 476-7445
- **Mailing address fax:** (704) 476-7417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/28/2006
- **Last updated:** 06/09/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0084C | BCBS | NC |
