CLECO PRIMARY CARE NETWORK (NPI# 1093795155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093795155 |
| Entity Type | Organization |
| Organization Name | CLECO PRIMARY CARE NETWORK |
| Other Organization Name | KINGS MOUNTAIN MEDICAL CENTER |
| Practice Address |
812 West King Street Kings Mountain NC 28086 |
| Mailing Address |
808 Schenck St Shelby NC 28150-3934 |
| Practice Telephone | 7044809344 |
| Practice Fax Number | 7047395271 |
| Mailing Telephone | 7044801087 |
| Mailing Fax Number | 7044843260 |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2019-03-21 |
| Authorized Official Name | MRS. MICHELLE HOYLE JORDAN (FINANCIAL MANAGER) |
| Authorized Official Telephone | 7044801087 |
| Is Organization Subpart | Y |
| Parent Organization Name | CLECO PRIMARY CARE NETWORK |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 343963A | 05 |
| Other Name | Type Code |
|---|---|
| Kings Mountain Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295715647 | Cleco Primary Care Network | Family Medicine | 600 W Church St, Cherryville, NC 28021-2863 | 2006-01-20 |
| 1659351724 | Cleco Primary Care Network | Clinic/Center | 5009 Fallston Road, Lawndale, NC 28090 | 2006-01-17 |
| 1528046513 | Cleco Primary Care Network | Clinic/Center | 808 Schenck Street, Shelby, NC 28150 | 2006-01-09 |
| 1669443487 | Cleco Primary Care Network | Clinic/Center | 808 Schenck Street, Shelby, NC 28150 | 2006-01-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CLECO PRIMARY CARE NETWORK | 808 Schenck St, Shelby, NC 28150-3934 |
| Street Address |
812 WEST KING STREET |
| City | KINGS MOUNTAIN |
| State | NC |
| Zip Code | 28086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609252493 | Mary Elizabeth Mann | Speech-Language Pathologist | 1563 Lewis Farm Rd, Kings Mountain, NC 28086 | 2015-08-04 |
| 1831404847 | Sandra Shuford Satterfield | Nurse Practitioner | 500 Phifer Road, Kings Mountain, NC 28086 | 2010-08-13 |
| 1821317868 | Crawley Memorial Hospital Inc | Long Term Care Hospital | 706 West King Street, Kings Mountain, NC 28086 | 2010-05-28 |
| 1639408248 | Self-determination LLC | Clinic/Center | 103 Ebenezer Rd, Kings Mtn, NC 28086 | 2009-12-09 |
| 1770731515 | Ingles Markets Inc | Pharmacy | 2111 Shelby Rd, Kings Mountain, NC 28086 | 2008-09-05 |
| 1659553832 | Jerry Marvin Utt | Social Worker | 301 East Parker Street, Kings Mountain, NC 28086 | 2007-11-29 |
| 1518087766 | Educare Community Living Corporation - North Carolina | Community/Behavioral Health | 112 Wooding Pl, Kings Mountain, NC 28086 | 2007-03-30 |
| 1093831679 | Mark David Lovelace | Pharmacist | 1114 West Gold Street, Extension, Kings Mountain, NC 28086 | 2007-03-22 |
| 1417016023 | Acrolyst Physician Resources | Internal Medicine | 827 E King Street, Kings Mountain, NC 28086 | 2006-12-08 |
| 1730248865 | Kmeg Resource Corp Pa | Internal Medicine | 827 East King Street, Kings Mtn, NC 28086 | 2006-12-06 |
| Find all providers in zip 28086 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689209553 | Murphy Medical Center Inc | Clinic/Center | 125 Medical Park Ln Ste H, Murphy, NC 28906-6921 | 2020-03-11 |
| 1528623725 | Cynthia Mcarthur-kearney | Clinic/Center | 531 Hillsboro St, Fayetteville, NC 28301-4634 | 2019-05-03 |
| 1528559671 | Bladen Healthcare LLC | Clinic/Center | 273 White Lake Dr, White Lake, NC 28337 | 2018-05-24 |
| 1043759335 | Bladen Healthcare LLC | Clinic/Center | 88 E Green St., Clarkton, NC 28433-5002 | 2017-02-20 |
| 1114269677 | Bladen Healthcare LLC | Clinic/Center | 107e Dunham St, Elizabethtown, NC 28337-9037 | 2013-03-22 |
| 1699062802 | Cah Acquisition Company 1 LLC | Clinic/Center | 9500 Nc Highway 94 North, Creswell, NC 27928-8808 | 2011-07-08 |
| 1912294687 | Pioneer Health Services of Stokes County, Inc. | Clinic/Center | 1020 Hospice Drive, Danbury, NC 27016-0000 | 2011-07-01 |
| 1578858247 | Warren Community Health Clinic Inc. | Clinic/Center | 546 W Ridgeway St, Warrenton, NC 27589-1716 | 2011-06-10 |
| 1427282045 | Southeastern Regional Physician Services | Clinic/Center | 2002 N Cedar St Ste B, Lumberton, NC 28358-3926 | 2009-05-11 |
| 1578702189 | Appalachian Healthcare, Inc. | Clinic/Center | 9330 Highway 194, Lansing, NC 28643-0184 | 2009-02-05 |
| Find all providers with the same taxonomy | ||||
| City | KINGS MOUNTAIN |
| Zip Code | 28086 |
Please comment or provide details below to improve the information on CLECO PRIMARY CARE NETWORK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.