Organization Active NPI

CS Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Charlotte, NC
National Provider Identifier
1104928290
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3409930MedicaidNC
PIN7591105OtherNCAETNA PPO (RANDOLPH)
0061ROtherNCBLUE CROSS - BLUE SHIELD
PVN3002479OtherNCAETNA HMO (RANDOLPH)

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.