Organization
CLEVELAND HEALTH VENTURES
Active
Parent organization
CLEVELAND HEALTH VENTURES
Other names
Foothills Family Health Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLEVELAND HEALTH VENTURES
Authorized official
DANIEL L WIENS (SENIOR VICE PRESIDENT OF OPERATIONS)
(704) 355-0648
Entity
Organization
Contact information
Practice address
249 OAK ST, FOREST CITY, NC 28043-3585
(828) 245-3158
(828) 247-6484
Mailing address
PO BOX 601884, CHARLOTTE, NC 28260-1884
(828) 245-3158
(828) 247-6484
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5913096
—
NC
05
—
7004416
—
NC
Enumeration date
11/10/2008
Last updated
02/05/2013
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