Organization
CLEVELAND COUNTY HEALTHCARE SYSTEM
Active
Other names
Kings Mountain Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE M MARTIN (CFO VP)
(980) 787-3802
Entity
Organization
Contact information
Practice address
706 W KING ST, KINGS MOUNTAIN, NC 28086-2708
(980) 487-3802
(980) 487-3690
Mailing address
201 E GROVER ST, SHELBY, NC 28150-3917
(980) 487-3000
(980) 487-3690
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07690
BCBS 1500
NC
05
—
198264
—
SC
01
—
235034G
CIGNA PART B
NC
01
—
235066A
CIGNA PART B
NC
01
—
261206
CIGNA PART B
NC
01
—
303
BCBS
NC
05
—
308577
—
SC
01
—
8000153
CRNA
NC
05
—
8000153 - 1500
—
NC
Enumeration date
12/15/2006
Last updated
01/26/2012
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