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CAROLINAS MEDICAL CENTER NPI 1659560472


NPI Information

NPI: 1659560472
Provider Name: CAROLINAS MEDICAL CENTER

Other Name: CHS BEHAVIORAL HEALTH PARTIAL HOSPITALIZATION

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
501 BILLINGSLEY ROAD
CHS BEHAVIORAL HEALTH CHARLOTTE ADMINISTRATION
CHARLOTTE, NC
ZIP 28211
Phone: (704) 358-2710
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CAROLINAS MEDICAL CENTER is an adult mental health clinic center in Charlotte, NC. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. CAROLINAS MEDICAL CENTER NPI is 1659560472. The provider is registered as an organization entity type.
The provider Other Name Is Chs Behavioral Health Partial Hospitalization.

The provider's business location address is:

501 BILLINGSLEY ROAD
CHS BEHAVIORAL HEALTH CHARLOTTE ADMINISTRATION
CHARLOTTE, NC
ZIP 28211-009
Phone: (704) 358-2710
Fax: (704) 358-2938

The provider's authorized official is Anthony Defurio .
The authorized official title is Evp And Chief Financial Officer and has the following contact phone number (704) 355-3304.

The enumeration date for this NPI number is 10/17/2007 and was last updated on 8/21/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthNo
2261QM0850XClinic/CenterAdult Mental HealthMHL-060-009NORTH CAROLINAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18300443DMEDICAIDNORTH 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: 11/14/2023

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