# CAROLINAS MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CAROLINAS MEDICAL CENTER
- **Other names:** Levine Children's Hospital Pediatrics
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1699829887
- **Legal business name:** CAROLINAS MEDICAL CENTER
- **Authorized official:** MR. KENNETH D HAYNES (PRESIDENT)
- **Authorized official phone:** (704) 355-6305

## Contact information

- **Practice address:** 1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
- **Practice address phone:** (704) 355-2000
- **Mailing address:** PO BOX 32861, CHARLOTTE, NC 28232-2861
- **Mailing address phone:** (704) 512-6438
- **Mailing address fax:** (704) 512-6485

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 283XC2000X | Children's Rehabilitation Hospital | — | — | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 09/26/2025
