CLECO PRIMARY CARE NETWORK NPI 1659351724

NPI Information

NPI: 1659351724
Provider Name: CLECO PRIMARY CARE NETWORK

Doing Business As: UPPER CLEVELAND MEDICAL CENTER

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
5009 FALLSTON ROAD
LAWNDALE, NC
ZIP 28090
Phone: (704) 480-9344
Get Directions

CLECO PRIMARY CARE NETWORK is a rural health clinic center in Lawndale, NC. CLECO PRIMARY CARE NETWORK NPI is 1659351724. The provider is registered as an organization entity type.
The provider Is Doing Business As Upper Cleveland Medical Center.

The provider's business location address is:

5009 FALLSTON ROAD
LAWNDALE, NC
ZIP 28090
Phone: (704) 480-9344
Fax: (704) 538-5803

The provider's authorized official is Michelle Hoyle Jordan .
The authorized official title is Financial Manager and has the following contact phone number (704) 480-1087.

The enumeration date for this NPI number is 1/17/2006 and was last updated on 3/21/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	343955A	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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