Active NPI
CS Center, LLC
- Ambulatory Surgical Clinic/Center
- Charlotte, NC
National Provider Identifier
1104928290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- CS CENTER, LLC
- Practice address
- 3621 Randolph Rd
Suite 200
Charlotte, NC 28211-1317 - Phone
- (704) 442-4661
- Fax
- (704) 442-4667
- NPI assigned
- Sep 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle C Hunter
- Title
- Business Office Manager
- Phone
- (704) 442-4661
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
3621 Randolph Rd
Suite 200
Charlotte, NC 28211-1317
Mailing address
3621 Randolph Rd
Suite 200
Charlotte, NC 28211-1317
Phone (704) 442-4661
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3409930 | Medicaid | NC | |
| PIN7591105 | Other | NC | AETNA PPO (RANDOLPH) |
| 0061R | Other | NC | BLUE CROSS - BLUE SHIELD |
| PVN3002479 | Other | NC | AETNA HMO (RANDOLPH) |
National Provider Directory
National Provider DirectoryLocations
3621 Randolph Rd
Ste 200
Charlotte, NC 28211
Phone (704) 206-8800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104928290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 RANDOLPH RD",
"address_2": "SUITE 200",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111317",
"telephone_number": "704-442-4661",
"fax_number": "704-442-4667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3621 RANDOLPH RD",
"address_2": "SUITE 200",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111317",
"telephone_number": "704-442-4661",
"fax_number": "704-442-4667"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CS CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HUNTER",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
"authorized_official_telephone_number": "704-442-4661"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3409930",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO (RANDOLPH)",
"identifier": "PIN7591105",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS - BLUE SHIELD",
"identifier": "0061R",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO (RANDOLPH)",
"identifier": "PVN3002479",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.