CHARLOTTE CDSA NPI 1215270715

NPI Information

NPI: 1215270715
Provider Name: CHARLOTTE CDSA
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address: 3500 ELLINGTON ST
CARLTON WATKINS CENTER
CHARLOTTE, NC
ZIP 28211
Phone: (704) 336-7107

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NPI Details

CHARLOTTE CDSA is a public health or welfare in Charlotte, NC. CHARLOTTE CDSA NPI is 1215270715. The provider is registered as an organization entity type.

The provider's business location address is:

3500 ELLINGTON ST
CARLTON WATKINS CENTER
CHARLOTTE, NC
ZIP 28211-102
Phone: (704) 336-7107
Fax: (704) 336-7110

The provider's authorized official is Constance Cook Mele .
The authorized official title is Director Of Provided Services and has the following contact phone number (704) 336-7155.

The enumeration date for this NPI number is 4/3/2013 and was last updated on 4/3/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251K00000X	Public Health or Welfare			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	3403416	OTHER	NORTH CAROLINA	DPH (PUBLIC HEALTH)
2	3403416	MEDICAID	NORTH CAROLINA
3	3403416	OTHER	NORTH CAROLINA	NC HEALTH CHOICE

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: 11/21/2025

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