Organization
CLEVELAND COUNTY HEALTHCARE SYSTEM
Active
Other names
Kings Mountain Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSE L COYNE (CFO)
(980) 487-3802
Entity
Organization
Contact information
Practice address
706 W KING ST, KINGS MOUNTAIN, NC 28086-2708
(704) 739-3601
(980) 487-7417
Mailing address
PO BOX 60548, CHARLOTTE, NC 28260-0548
(704) 739-3601
(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
—
198264
SC MEDICAID UB
NC
05
—
3400037S
—
NC
05
—
8907690
—
NC
01
—
NPA951
SC MEDICAID
NC
Enumeration date
10/16/2006
Last updated
10/13/2009
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