Organization Active NPI

Cabarrus Memorial Hospital

Doing business as NorthEast Medical Center

  • General Acute Care Hospital
  • Concord, NC
National Provider Identifier
1093711525
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
110031 Issued in NC
Legal business name
CABARRUS MEMORIAL HOSPITAL
Doing business as
NorthEast Medical Center
Practice address
920 Church St N
Concord, NC 28025-2927
Phone
(704) 783-3000
NPI assigned
Jun 21, 2005
Last updated
Mar 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark Nantz
Title
Executive VP / Cfo
Phone
(704) 783-1176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 110031 NC Primary

Addresses

Primary practice location

920 Church St N
Concord, NC 28025-2927

Mailing address

920 Church St N
Concord, NC 28025-2927
Phone (704) 783-3000

Other identifiers 1

IdentifierTypeStateIssuer
34-00001MedicaidNC

Other names 1

  • NorthEast Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

2101 Shiloh Church Rd
Ste 202
Davidson, NC 28036
Phone (704) 403-7800

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1093711525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 CHURCH ST N",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252927",
            "telephone_number": "704-783-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 CHURCH ST N",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252927",
            "telephone_number": "704-783-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CABARRUS MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "NANTZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE VP / CFO",
        "authorized_official_telephone_number": "704-783-1176"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NC",
            "license": "110031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34-00001",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NorthEast Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.