# CAROMONT HEALTH SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CaroMont Specialty Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902895675
- **Authorized official:** MR. DAVID O'CONNOR (VP CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (704) 834-2049

## Contact information

- **Practice address:** 2511 COURT DR, GASTONIA, NC 28054-2140
- **Practice address phone:** (704) 671-5600
- **Mailing address:** 2511 COURT DR, GASTONIA, NC 28054-2140
- **Mailing address phone:** (704) 671-5600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | AS0037 | NC | Yes |

## Other

- **Enumeration date:** 10/17/2005
- **Last updated:** 08/29/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00632 | BLUE CROSS | NC |
| 01 | — | 0585105 | AETNA | NC |
| 01 | — | 0734076003 | CIGNA | NC |
| 01 | — | 312280 | FEDERAL BLACK LUNG | NC |
| 05 | — | 3409852 | — | NC |
| 01 | — | 3697 | WELLPATH | NC |
| 01 | — | 371708500 | DEPARTMENT OF LABOR | NC |
| 01 | — | 5040770 | UNITED HEALTHCARE | NC |
| 05 | — | ASC002 | — | SC |