Organization
CLEVELAND COUNTY HEALTHCARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY GUNTER (BILLING/CODING DIRECTOR)
(704) 480-1087
Entity
Organization
Contact information
Practice address
201 E GROVER ST, SHELBY, NC 28150-3917
(800) 513-0025
(919) 477-5474
Mailing address
PO BOX 601409, CHARLOTTE, NC 28260-1409
(704) 480-1087
(704) 484-3260
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0762X
BLUE CROSS BLUE SHIELD
NC
05
—
8907694
—
NC
Enumeration date
03/25/2006
Last updated
02/08/2010
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