Organization
CLEVELAND COUNTY HEALTHCARE SYSTEM
Active
Other names
Cleveland Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSE L COYNE CPA (VICE PRESIDENT - CFO)
(980) 487-3802
Entity
Organization
Contact information
Practice address
201 E GROVER ST, SHELBY, NC 28150-3917
(980) 487-7427
(980) 487-7416
Mailing address
PO BOX 60164, CHARLOTTE, NC 28260-0164
(980) 487-7427
(980) 487-7416
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3400021
—
NC
01
—
6008029
MEDICARE PROFEE MID LEVEL
NC
05
—
8000197 (CRNA)
—
NC
05
—
8907694 (PROFEE)
—
NC
Enumeration date
11/20/2009
Last updated
07/16/2010
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