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CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY NPI 1841566106


NPI Information

NPI: 1841566106
Provider Name: CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY

Doing Business As: LEVINE CANCER INSTITUTE

Classification: Internal Medicine - 207RX0202X
Entity Type: Organization

Specialization: Medical Oncology

CLIA Number: 34D2158634

Address:
16455 STATESVILLE RD
SUITE 200
HUNTERSVILLE, NC
ZIP 28078
Phone: (704) 302-8600
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CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY is a medical oncology internal medicine in Huntersville, NC. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY NPI is 1841566106. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Levine Cancer Institute.

The provider's business location address is:

16455 STATESVILLE RD
SUITE 200
HUNTERSVILLE, NC
ZIP 28078-135
Phone: (704) 302-8600
Fax: (704) 302-8650

The provider's authorized official is Peter Acker .
The authorized official title is Administrator and has the following contact phone number (980) 212-1000.

The CLIA number assigned to this NPI record is 34D2158634 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/30/2012 and was last updated on 9/14/2012.


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
1207R00000XInternal MedicineNo
2207RH0000XInternal MedicineHematologyNo
32086X0206XSurgerySurgical OncologyNo
4207RX0202XInternal MedicineMedical OncologyYes

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
15919626MEDICAIDNORTH CAROLINA
2NPB473MEDICAIDSOUTH 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

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