Organization
CLECO PRIMARY CARE NETWORK
Active
Other names
CLECO Primary Care Network
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY H SHUBERT (EXECUTIVE DIRECTOR)
(704) 484-1889
Entity
Organization
Contact information
Practice address
808 SCHENCK STREET, SHELBY, NC 28150
(704) 480-9344
(704) 484-3260
Mailing address
808 SCHENCK STREET, SHELBY, NC 28150-3934
(704) 480-9344
(704) 484-3260
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343970A
—
NC
Enumeration date
01/09/2006
Last updated
08/22/2018
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