Organization
CLEVELAND HEALTH VENTURES LLC
Active
Parent organization
CLEVELAND HEALTH VENTURES LLC
Other names
Shelby Family Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLEVELAND HEALTH VENTURES LLC
Authorized official
MR. DANIEL L. WIENS (SENIOR VICE PRESIDENT)
(704) 355-0648
Entity
Organization
Contact information
Practice address
708 MCBRAYER HOMESTEAD RD, SHELBY, NC 28152-9532
(704) 434-8123
(704) 434-9919
Mailing address
PO BOX 601884, CHARLOTTE, NC 28260-1884
(704) 434-8123
(704) 434-9919
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5906847
—
NC
05
—
NPB305
—
SC
Enumeration date
10/27/2009
Last updated
06/18/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us