CAROLINAS MEDICAL CENTER NPI 1740441476

NPI Information

NPI: 1740441476
Provider Name: CAROLINAS MEDICAL CENTER

Doing Business As: BEHAVIORAL HEALTH CENTER CMC RANDOLPH

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
BEHAVIORAL HEALTH CENTER CMC RANDOLPH
501 BILLINGSLEY ROAD
CHARLOTTE, NC
ZIP 28211
Phone: (704) 358-2700
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CAROLINAS MEDICAL CENTER is a mental health (including community mental health center) clinic center in Charlotte, NC. CAROLINAS MEDICAL CENTER NPI is 1740441476. The provider is registered as an organization entity type.
The provider Is Doing Business As Behavioral Health Center Cmc Randolph.

The provider's business location address is:

BEHAVIORAL HEALTH CENTER CMC RANDOLPH
501 BILLINGSLEY ROAD
CHARLOTTE, NC
ZIP 28211-009
Phone: (704) 358-2700
Fax: (704) 358-2716

The provider's authorized official is Laura J. Thomas .
The authorized official title is Vice President and has the following contact phone number (704) 358-2714.

The CLIA number assigned to this NPI record is 34D1002972 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/25/2008 and was last updated on 6/25/2008.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	H0071	NORTH CAROLINA	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	6005147	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: 11/14/2023

NPI Synchronization or Removal

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