Organization
CLEVELAND COUNTY HEALTHCARE SYSTEM
Active
Other names
Cleveland Pines Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSE L COYNE (VICE PRESIDENT CFO)
(980) 487-3802
Entity
Organization
Contact information
Practice address
1404 N LAFAYETTE ST, SHELBY, NC 28150-3406
(980) 487-7439
(980) 487-7416
Mailing address
201 E GROVER STREET, SHELBY, NC 28150
(980) 487-7439
(980) 487-7439
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0081J
BCBS
—
05
—
3405282
—
NC
05
—
3496012
—
NC
Enumeration date
09/28/2006
Last updated
04/28/2009
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