NPIMap

Organization Active NPI

Cleveland County Healthcare System

Doing business as Kings Mountain Hospital

  • Psychiatric Hospital Unit
  • Kings Mountain, NC
National Provider Identifier
1609109933
Registry record updated Sep 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
H0113 Issued in NC
Legal business name
CLEVELAND COUNTY HEALTHCARE SYSTEM
Doing business as
Kings Mountain Hospital
Practice address
706 W King St
Kings Mountain, NC 28086-2708
Phone
(704) 739-3601
Fax
(980) 487-7416
NPI assigned
Sep 18, 2009
Last updated
Sep 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2009

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

Authorized official

Name
Mrs. Rose L Coyne
Title
VP - Cfo
Phone
(980) 487-3802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X H0113 NC Primary

Addresses

Primary practice location

706 W King St
Kings Mountain, NC 28086-2708

Mailing address

PO Box 60548
Charlotte, NC 28260-0548
Phone (980) 487-7427

Other identifiers 5

IdentifierTypeStateIssuer
235034GOtherNCMEDICARE OUTPATIENT PROFEE
235034HOtherNCMEDICARE CRNA
8000153 (CRNA)MedicaidNC
3400037MedicaidNC
8907690 (PROFEE)MedicaidNC

Other names 1

  • Kings Mountain Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cleveland County Healthcare System13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253232000000",
    "number": "1609109933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60548",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600548",
            "telephone_number": "980-487-7427",
            "fax_number": "980-487-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 W KING ST",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280862708",
            "telephone_number": "704-739-3601",
            "fax_number": "980-487-7416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND COUNTY HEALTHCARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-18",
        "last_updated": "2009-09-18",
        "status": "A",
        "authorized_official_last_name": "COYNE",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP - CFO",
        "authorized_official_telephone_number": "980-487-3802",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NC",
            "license": "H0113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OUTPATIENT PROFEE",
            "identifier": "235034G",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CRNA",
            "identifier": "235034H",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8000153 (CRNA)",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3400037",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8907690 (PROFEE)",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kings Mountain Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kings Mountain, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.