NPIMap

Organization Active NPI

Cleco Primary Care Network

  • Rural Health Clinic/Center
  • Shelby, NC
National Provider Identifier
1528046513
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CLECO PRIMARY CARE NETWORK
Practice address
808 Schenck Street
Shelby, NC 28150
Phone
(704) 480-9344
Fax
(704) 484-3260
NPI assigned
Jan 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Authorized official

Name
Betty H Shubert
Title
Executive Director
Phone
(704) 484-1889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

808 Schenck Street
Shelby, NC 28150

Mailing address

808 Schenck Street
Shelby, NC 28150-3934
Phone (704) 480-9344

Other practice location 1

812 W King St
Kings Mountain, NC 28086-2748
Phone (704) 480-9344

Other practice location 2

5009 Fallston Rd
Lawndale, NC 28090-9585
Phone (704) 480-9344

Other identifiers 1

IdentifierTypeStateIssuer
343970AMedicaidNC

Other names 1

  • CLECO Primary Care Network Doing business as

National Provider Directory

National Provider Directory

Locations

808 Schenck St
Shelby, NC 28150
Phone (704) 480-9344

101 E Grover St
Shelby, NC 28150
Phone (704) 480-9344

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1528046513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 SCHENCK STREET",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503934",
            "telephone_number": "704-480-9344",
            "fax_number": "704-484-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 SCHENCK STREET",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "28150",
            "telephone_number": "704-480-9344",
            "fax_number": "704-484-3260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "812 W King St",
            "address_purpose": "LOCATION",
            "city": "Kings Mountain",
            "state": "NC",
            "postal_code": "280862748",
            "country_code": "US",
            "telephone_number": "704-480-9344",
            "fax_number": "704-739-5271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5009 Fallston Rd",
            "address_purpose": "LOCATION",
            "city": "Lawndale",
            "state": "NC",
            "postal_code": "280909585",
            "country_code": "US",
            "telephone_number": "704-480-9344",
            "fax_number": "704-538-7981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLECO PRIMARY CARE NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "SHUBERT",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-484-1889"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "343970A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLECO Primary Care Network",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CLECO Primary Care Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.