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CAROLINAS MEDICAL CENTER NPI 1972792869


NPI Information

NPI: 1972792869
Provider Name: CAROLINAS MEDICAL CENTER

Other Name: BHC CMCR ASSERTIVE TREATMENT TEAM

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

Specialization: Adult Mental Health

Address:
501 BILLINGSLEY ROAD
BEHAVIORAL HEALTH CENTER CMC RANDOLPH
CHARLOTTE, NC
ZIP 28211
Phone: (704) 444-2520
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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 1972792869. The provider is registered as an organization entity type.
The provider Other Name Is Bhc Cmcr Assertive Treatment Team.

The provider's business location address is:

501 BILLINGSLEY ROAD
BEHAVIORAL HEALTH CENTER CMC RANDOLPH
CHARLOTTE, NC
ZIP 28211-009
Phone: (704) 444-2520
Fax: (704) 444-2532

The provider's authorized official is Thomas E. Gettelman .
The authorized official title is Assistant Vice President and has the following contact phone number (704) 444-2406.

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


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
1261QM0850XClinic/CenterAdult Mental HealthH0071NORTH 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
18300443AMEDICAIDNORTH 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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