Organization
CLEVELAND COUNTY HEALTHCARE SYSTEM
Active
Other names
Kings Mountain Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSE L COYNE (VP - CFO)
(980) 487-3802
Entity
Organization
Contact information
Practice address
706 W KING ST, KINGS MOUNTAIN, NC 28086-2708
(704) 739-3601
(980) 487-7416
Mailing address
PO BOX 60548, CHARLOTTE, NC 28260-0548
(980) 487-7427
(980) 487-7416
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
H0113
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
235034G
MEDICARE OUTPATIENT PROFEE
NC
01
—
235034H
MEDICARE CRNA
NC
05
—
3400037
—
NC
05
—
8000153 (CRNA)
—
NC
05
—
8907690 (PROFEE)
—
NC
Enumeration date
09/18/2009
Last updated
09/18/2009
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