Organization
CAROLINAS MEDICAL CENTER
Active
Other names
Carolinas Medical Center Northpark
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG GOMBAR (ADMINISTRATOR)
(704) 355-2154
Entity
Organization
Contact information
Practice address
251 EASTWAY DR, CHARLOTTE, NC 28213-7103
(704) 355-2000
Mailing address
PO BOX 32861, CHARLOTTE, NC 28232-2861
(704) 512-6438
(704) 512-6485
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
790252J
—
NC
01
—
CG2070
RAILROAD MEDICARE
NC
05
—
NPA779
—
SC
Enumeration date
01/29/2007
Last updated
04/19/2011
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