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Carolinas Medical Center

Organization Active NPI Clinic/Center · Charlotte, NC

NPI 1700922952 · NPPES record last updated Apr 19, 2011

Key facts

NPI
1700922952
Entity type
Organization (NPI type 2)
Primary specialty
Clinic/Center 261Q00000X
Legal business name
CAROLINAS MEDICAL CENTER
Practice address
251 Eastway Dr
Charlotte, NC 28213-7103
Phone
(704) 355-2000
NPI assigned
Jan 29, 2007
Organization subpart
No

Authorized official

Name
Mr. Greg Gombar
Title
Administrator
Phone
(704) 355-2154

Other NPIs on the same Medicare enrollment 30

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 30

Corporate family (same tax ID) 24

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031110000116 NC Part B Supplier - Clinic/Group Practice 4789597477 Receives reassigned benefits from 2,635 practitioners
30 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

National Provider Directory

Tax ID family
Ctr for Mental Health (69 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Yes

Addresses

Primary practice location

251 Eastway Dr
Charlotte, NC 28213-7103

Mailing address

PO Box 32861
Charlotte, NC 28232-2861
Phone (704) 512-6438

Other identifiers

IdentifierTypeStateIssuer
NPA779MedicaidSC
790252JMedicaidNC
CG2070OtherNCRAILROAD MEDICARE

Other names

  • Carolinas Medical Center Northpark Doing business as

Other providers in Charlotte, NC

All providers in Charlotte, NC · Clinic/Center in North Carolina

Sources for this page

Verify at the official NPI Registry.