CLEVELAND COUNTY HEALTHCARE SYSTEM (NPI# 1609109933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609109933 |
Entity Type | Organization |
Organization Name | CLEVELAND COUNTY HEALTHCARE SYSTEM |
Other Organization Name | KINGS MOUNTAIN HOSPITAL |
Practice Address |
706 W King St Kings Mountain NC 28086-2708 |
Mailing Address |
Po Box 60548 Charlotte NC 28260-0548 |
Practice Telephone | 7047393601 |
Practice Fax Number | 9804877416 |
Mailing Telephone | 9804877427 |
Mailing Fax Number | 9804877416 |
Enumeration Date | 2009-09-18 |
Last Update Date | 2009-09-18 |
Authorized Official Name | MRS. ROSE L COYNE (VP - CFO) |
Authorized Official Telephone | 9804873802 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 273R00000X | Psychiatric Unit | H0113 | NC | Hospital Units |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 3400037 | 05 | |
NC | 8000153 (CRNA) | 05 | |
NC | 8907690 (PROFEE) | 05 | |
NC | MEDICARE OUTPATIENT PROFEE | 235034G | 01 |
NC | MEDICARE CRNA | 235034H | 01 |
Other Name | Type Code |
---|---|
Kings Mountain Hospital | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568554863 | Cleveland County Healthcare System | Skilled Nursing Facility | 706 W Kings Street, Kings Mountain, NC 28086 | 2006-09-28 |
1316039639 | Cleveland County Healthcare System | Skilled Nursing Facility | 1404 N Lafayette St, Shelby, NC 28150-3406 | 2006-09-28 |
1093708711 | Cleveland County Healthcare System | General Acute Care Hospital | 706 West Kings Street, Kings Mountain, NC 28086-2708 | 2005-08-29 |
1215265756 | Cleveland County Healthcare System | Psychiatric Unit | 201 E Grover St, Shelby, NC 28150-3917 | 2009-11-20 |
1588999684 | Cleveland County Healthcare System | Psychiatric Unit | 201 E Grover St, Shelby, NC 28150-3917 | 2009-10-07 |
1134452444 | Cleveland County Healthcare System | Psychiatric Unit | 706 W King St, Kings Mountain, NC 28086-2708 | 2009-09-18 |
1952550790 | Cleveland County Healthcare System | Durable Medical Equipment & Medical Supplies | 1404 N Lafayette St, Shelby, NC 28150-3406 | 2008-09-17 |
1649431503 | Cleveland County Healthcare System | General Acute Care Hospital | 201 E Grover St, Shelby, NC 28150-3917 | 2008-06-23 |
1275681264 | Cleveland County Healthcare System | Medicare Defined Swing Bed Unit | 706 W Kings Street, Kings Mountain, NC 28086 | 2007-01-08 |
1750443792 | Cleveland County Healthcare System | General Acute Care Hospital | 706 W King St, Kings Mountain, NC 28086-2708 | 2006-12-15 |
Street Address |
706 W KING ST |
City | KINGS MOUNTAIN |
State | NC |
Zip Code | 28086-2708 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548255680 | Rody Singer | Hospitalist | 706 W King St, Kings Mountain, NC 28086-2708 | 2005-09-14 |
1790182608 | The Charlotte-mecklenburg Hospital Authority | Nurse Anesthetist, Certified Registered | 706 W King St, Kings Mountain, NC 28086-2708 | 2014-11-21 |
1679970586 | The Charlotte-mecklenburg Hospital Authority | General Practice | 706 W King St, Kings Mountain, NC 28086-2708 | 2014-11-21 |
1437554037 | The Charlotte-mecklenburg Hospital Authority | Medicare Defined Swing Bed Unit | 706 W King St, Kings Mountain, NC 28086-2708 | 2014-10-27 |
1619372216 | The Charlotte-mecklenburg Hospital Authority | Psychiatric Unit | 706 W King St, Kings Mountain, NC 28086-2708 | 2014-10-27 |
1558765529 | The Charlotte-mecklenburg Hospital Authority | General Acute Care Hospital | 706 W King St, Kings Mountain, NC 28086-2708 | 2014-10-20 |
1356755391 | Peter Jeon | Hospitalist | 706 W King St, Kings Mountain, NC 28086-2708 | 2014-06-18 |
1285055947 | Carolinas Physicians Network Inc | Internal Medicine | 706 W King St, Kings Mountain, NC 28086-2708 | 2013-12-26 |
1114348802 | Carolinas Physicians Network Inc | Internal Medicine | 706 W King St, Kings Mountain, NC 28086-2708 | 2013-12-23 |
1184066342 | Carolinas Physicians Network Inc | Internal Medicine | 706 W King St, Kings Mountain, NC 28086-2708 | 2013-07-29 |
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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 |
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Taxonomy Code | 273R00000X |
Grouping | Hospital Units |
Classification | Psychiatric Unit |
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619372216 | The Charlotte-mecklenburg Hospital Authority | Psychiatric Unit | 706 W King St, Kings Mountain, NC 28086-2708 | 2014-10-27 |
1134452444 | Cleveland County Healthcare System | Psychiatric Unit | 706 W King St, Kings Mountain, NC 28086-2708 | 2009-09-18 |
1790875953 | Cleveland County Healthcare System | Psychiatric Unit | 706 W King St, Kings Mountain, NC 28086-2708 | 2006-10-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407457617 | Cherokee Indian Hospital Authority | Psychiatric Unit | 149 Cherokee Hospital Loop, Cherokee, NC 28719 | 2020-11-04 |
1992240972 | Veritas Collaborative | Psychiatric Unit | 500 N Sellers St, Selma, NC 27576-2647 | 2016-12-29 |
1073699492 | Smoky Mountain Center for Mh/dd/sas | Psychiatric Unit | 91 Timberlane Dr, Waynesville, NC 28786 | 2006-10-27 |
1114905783 | East Carolina Health | Psychiatric Unit | 111 Hertford County High Rd, Ahoskie, NC 27910-8131 | 2006-01-04 |
1326045857 | Duke University Health System, Inc. | Psychiatric Unit | 2301 Erwin Rd, Durham, NC 27705-4699 | 2005-06-30 |
1649746678 | Mh Mission Hospital, Lllp | Psychiatric Unit | 509 Biltmore Ave, Asheville, NC 28801-4601 | 2018-10-17 |
1689166605 | Dlp Maria Parham Medical Center LLC | Psychiatric Unit | 100 Hospital Dr, Louisburg, NC 27549-2256 | 2018-06-05 |
1386196459 | Dlp Wilson Medical Center LLC | Psychiatric Unit | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2016-10-25 |
1386090611 | Unc Department of Psychiatry | Psychiatric Unit | 101 Manning Dr, Campus Box #7160, Chapel Hill, NC 27599-7160 | 2016-05-05 |
1982079802 | The Charlotte-mecklenburg Hospital Authority | Psychiatric Unit | 301 Yadkin St, Albemarle, NC 28001-3441 | 2015-12-03 |
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City | KINGS MOUNTAIN |
Zip Code | 28086 |
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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.