Organization Active NPI

Cleco Primary Care Network

Doing business as CLECO Medical Center

  • Rural Health Clinic/Center
  • Shelby, NC
National Provider Identifier
1669443487
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CLECO PRIMARY CARE NETWORK
Doing business as
CLECO Medical Center
Practice address
808 Schenck Street
Shelby, NC 28150
Phone
(704) 480-9344
Fax
(704) 484-3260
NPI assigned
Jan 30, 2006
Last updated
Mar 21, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
CLECO PRIMARY CARE NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Authorized official

Name
Mrs. Michelle Hoyle Jordan
Title
Financial Manager
Phone
(704) 480-1087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU 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 identifiers 1

IdentifierTypeStateIssuer
343970AMedicaidNC

Other names 1

  • CLECO Medical Center Doing business as

National Provider Directory

National Provider Directory
Part of
Cleco Primary Care Netw

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553126400000",
    "number": "1669443487",
    "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": [],
    "basic": {
        "organization_name": "CLECO PRIMARY CARE NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLECO PRIMARY CARE NETWORK",
        "enumeration_date": "2006-01-30",
        "last_updated": "2019-03-21",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "HOYLE",
        "authorized_official_title_or_position": "FINANCIAL MANAGER",
        "authorized_official_telephone_number": "704-480-1087",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "343970A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLECO Medical Center",
            "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 Mar 21, 2019; 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.