Organization
MERCY RESTORATIVE CARE HOSPITAL, INC
Active
Other names
Carolinas Specialty Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN CLAYTON (VP, REVENUE CYCLE)
(704) 887-7283
Entity
Organization
Contact information
Practice address
2001 VAIL AVE, SEVENTH FLOOR SOUTH, CHARLOTTE, NC 28207-1219
(704) 335-9113
Mailing address
2001 VAIL AVE, SEVENTH FLOOR SOUTH, CHARLOTTE, NC 28207-1219
(704) 335-9113
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2352781
MEDICARE GROUP PROVIDER NUMBER
—
Enumeration date
09/08/2008
Last updated
09/08/2008
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