Active NPI
Cleveland County Healthcare System
- General Acute Care Hospital
- Kings Mountain, NC
National Provider Identifier
1972586691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 943292
- Legal business name
- CLEVELAND COUNTY HEALTHCARE SYSTEM
- Practice address
- 706 W King St
Kings Mountain, NC 28086-2708 - Phone
- (704) 739-3601
- NPI assigned
- Nov 28, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sheri Deshazo, RN
- Title
- Coo/Cne
- Phone
- (704) 739-3601
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 943292 | NC | Primary |
Addresses
Primary practice location
706 W King St
Kings Mountain, NC 28086-2708
Mailing address
706 W King St
Kings Mountain, NC 28086-2708
Phone (704) 739-3601
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3415275 | Medicaid | NC |
Other names 1
- Kings Mountain Hospital
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1972586691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 W KING ST",
"city": "KINGS MOUNTAIN",
"state": "NC",
"postal_code": "280862708",
"telephone_number": "704-739-3601"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEVELAND COUNTY HEALTHCARE SYSTEM",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DESHAZO",
"authorized_official_first_name": "SHERI",
"authorized_official_title_or_position": "COO/CNE",
"authorized_official_telephone_number": "704-739-3601",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "NC",
"license": "943292",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3415275",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kings Mountain Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kings Mountain, NC
- Cleveland County Healthcare System
- Cleveland County Healthcare System
- Cleveland County Healthcare System
- Cleveland County Healthcare System
- Cleveland County Healthcare System
- Cleveland County Healthcare Systems
- Cleveland County Life Saving and Rescue Squad Inc
- Cleveland County Schools
- Cleveland Health Ventures LLC
- Cleveland Health Ventures LLC
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.