PRESBYTERIAN BREAST CENTER, LLC (NPI# 1457302341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457302341 |
| Entity Type | Organization |
| Organization Name | PRESBYTERIAN BREAST CENTER, LLC |
| Other Organization Name | PRESBYTERIAN BREAST CENTER MUSEUM |
| Practice Address |
2900 Randolph Rd Charlotte NC 28211-1021 |
| Mailing Address |
2085 Frontis Plaza Blvd Winston-salem NC 27103-5614 |
| Practice Telephone | 7043844000 |
| Mailing Telephone | 3362777226 |
| Mailing Fax Number | 3362779795 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2010-10-26 |
| Authorized Official Name | FRED M HARGETT (EVP CFO) |
| Authorized Official Telephone | 7043845184 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89016K8 | 05 | |
| UHC | 16-02146 | 01 |
| Other Name | Type Code |
|---|---|
| Presbyterian Breast Center Museum | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447201017 | Presbyterian Breast Center, LLC | Physiological Laboratory | 10030 Gilead Rd, Ste 310 Physicians Plaza, Huntersville, NC 28078-7545 | 2006-05-16 |
| 1033160973 | Presbyterian Breast Center, LLC | Clinic/Center | 16525 Holly Crest Ln, Ste 130, Huntersville, NC 28078-4909 | 2006-05-15 |
| 1558312413 | Presbyterian Breast Center, LLC | Clinic/Center | 8401 Medical Plaza Dr, Charlotte, NC 28262-8797 | 2006-05-15 |
| Street Address |
2900 RANDOLPH RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28211-1021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821049461 | Presbyterian Imaging Centers LLC | Physiological Laboratory | 2900 Randolph Rd, Charlotte, NC 28211-1021 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
| 1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
| 1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
| 1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
| 1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
| 1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
| 1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
| 1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
| Find all providers in zip 28211 | ||||
| Taxonomy Code | 261QR0206X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mammography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275584179 | Presbyterian Breast Center LLC | Clinic/Center | 14215 Ballantyne Corporate Place, Ste 140, Charlotte, NC 28277-3146 | 2006-05-15 |
| 1043352594 | Mecklenburg County | Clinic/Center | 249 Billingsley Rd, Charlotte, NC 28211-1003 | 2007-02-13 |
| 1558312413 | Presbyterian Breast Center, LLC | Clinic/Center | 8401 Medical Plaza Dr, Charlotte, NC 28262-8797 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578918116 | Wellcareamerica LLC | Clinic/Center | 800 Park Offices Dr, Suite 3303, Durham, NC 27709 | 2016-05-02 |
| 1861829681 | Southeastern Regional Physician Services | Clinic/Center | 105 W 27th St, Lumberton, NC 28358-3014 | 2013-10-11 |
| 1013269653 | Hoke Imaging | Clinic/Center | 300 Medical Pavilion Drive, Raeford, NC 28376 | 2012-10-05 |
| 1033160973 | Presbyterian Breast Center, LLC | Clinic/Center | 16525 Holly Crest Ln, Ste 130, Huntersville, NC 28078-4909 | 2006-05-15 |
| 1104877356 | Foundation Health Systems, Corp | Clinic/Center | 2025 Frontis Plaza Blvd, Ste 300, Winston-salem, NC 27103-5663 | 2006-05-12 |
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| 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.