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Organization

HOSPICE OF CLEVELAND COUNTY, INC.

Active
Other names
Hospice Cleveland County
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PETER BRUNNICK (PRESIDENT/CEO)
(704) 355-3501
Entity
Organization

Contact information

Practice address
951 WENDOVER HEIGHT DR, SHELBY, NC 28150-3565
(704) 487-4677
(704) 481-8050
Mailing address
951 WENDOVER HEIGHT DR, SHELBY, NC 28150-3565
(704) 487-4677
(704) 481-8050

Taxonomy

Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
251G00000X
Community Based Hospice Care Agency
HOS0371
NC
251G00000X
Community Based Hospice Care Agency
Primary
HOS1413
NC
251G00000X
Community Based Hospice Care Agency
HPC-065
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0022W
BLUE CROSS BLUE SHIELD
01
2497670
AETNA
05
3401520
NC
01
355808
CIGNA
05
HSP045
SC
Enumeration date
05/23/2005
Last updated
01/24/2025
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