Organization
CAROLINAS MEDICAL CENTER
Active
Other names
CMC-Mercy
Organization subpart
No
Provider details
NPI number
Authorized official
GREG A GOMBAR (EVP/CFO)
(704) 355-2154
Entity
Organization
Contact information
Practice address
2001 VAIL AVE., CHARLOTTE, NC 28207-1219
(704) 379-5000
(704) 379-5695
Mailing address
PO BOX 32861, CHARLOTTE, NC 28232-2861
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
H0071
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3400113
—
NC
Enumeration date
10/24/2014
Last updated
10/24/2014
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