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CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY NPI 1043580681


NPI Information

NPI: 1043580681
Provider Name: CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY

Doing Business As: LEVINE CANCER INSTITUTE

Classification: Internal Medicine - 207RX0202X
Entity Type: Organization

Specialization: Medical Oncology

Address:
411 BILLINGSLEY RD
SUITE 103
CHARLOTTE, NC
ZIP 28211
Phone: (704) 344-1995
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CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY is a medical oncology internal medicine in Charlotte, 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 1043580681. 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:

411 BILLINGSLEY RD
SUITE 103
CHARLOTTE, NC
ZIP 28211-046
Phone: (704) 344-1995
Fax: (704) 344-1705

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 enumeration date for this NPI number is 1/12/2012 and was last updated on 6/22/2013.


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
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1NPB463MEDICAIDSOUTH CAROLINA
25919395MEDICAIDNORTH CAROLINA
32347891AMEDICARE PINNORTH 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: 4/28/2024

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