THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY (NPI# 1619372216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619372216 |
| Entity Type | Organization |
| Organization Name | THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY |
| Other Organization Name | CAROLINAS HEALTHCARE SYSTEM KINGS MOUNTAIN |
| 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 | 7047393601 |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2018-11-01 |
| Authorized Official Name | ANTHONY C DEFURIO (EVP/CFO) |
| Authorized Official Telephone | 7043553304 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | NC | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3400037S | 05 |
| Other Name | Type Code |
|---|---|
| Atrium Health Kings Mountain | Doing Business As Name - Organization |
| Carolinas HealthCare System Kings Mountain | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225649718 | The Charlotte-mecklenburg Hospital Authority | Surgery | 101 E Wt Harris Blvd Ste 5500a, Charlotte, NC 28262-3485 | 2020-08-10 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| 1942674775 | The Charlotte-mecklenburg Hospital Authority | Skilled Nursing Facility | 625 Bethany Road, Albemarle, NC 28001 | 2015-11-17 |
| 1356778567 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 101 E W T Harris Blvd Bldg 3000, Ste 3301e, Charlotte, NC 28262-3485 | 2013-10-02 |
| 1588978290 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 441 Mcalister Road, Suite 1100b, Lincolnton, NC 28092-0000 | 2010-08-05 |
| 1477884302 | The Charlotte-mecklenburg Hospital Authority | Orthopaedic Surgery | 275 Highway 16 N, Suite 202, Denver, NC 28037-3002 | 2010-01-15 |
| 1326088139 | The Charlotte-mecklenburg Hospital Authority | General Acute Care Hospital | 433 Mcalister Drive, Lincolnton, NC 28092-4147 | 2006-06-08 |
| 1114564416 | The Charlotte-mecklenburg Hospital Authority | Pediatrics | 150 Winchester Ave, Monroe, NC 28110-3161 | 2019-12-05 |
| 1538637137 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 2301 Us Highway 74 W, Wadesboro, NC 28170-7554 | 2018-11-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | The Charlotte-Mecklenburg Hospital Authority | 1111 Metropolitan Avenue, Suite 600, Charlotte, NC 28204 |
| Washington State Corporations | THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY | 1000 Blythe Blvd, Charlotte, NC 28203 |
| Colorado Business Entities | The Charlotte-Mecklenburg Hospital Authority | C/o Office of General Counsel, 1000 Blythe Boulevard, Charlotte, NC 28203 |
| Alabama Business Registrations | The Charlotte-Mecklenburg Hospital Authority | 1000 Blythe Boulevard, Charlotte, NC 28203 |
| 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 |
| 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 |
| 1578906616 | Anton Bazarov | Internal Medicine | 706 W King St, Kings Mountain, NC 28086-2708 | 2013-04-08 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1134452444 | Cleveland County Healthcare System | Psychiatric Unit | 706 W King St, Kings Mountain, NC 28086-2708 | 2009-09-18 |
| 1609109933 | 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 |
Please comment or provide details below to improve the information on THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY.
| 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.