CLEVELAND HEALTH VENTURES LLC NPI 1649345935

NPI Information

NPI: 1649345935
Provider Name: CLEVELAND HEALTH VENTURES LLC

Doing Business As: SHELBY FAMILY PRACTICE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1124 N WASHINGTON ST
SHELBY, NC
ZIP 28150
Phone: (980) 487-1148
Get Directions

CLEVELAND HEALTH VENTURES LLC is a family medicine in Shelby, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CLEVELAND HEALTH VENTURES LLC NPI is 1649345935. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Shelby Family Practice.

The provider's business location address is:

1124 N WASHINGTON ST
SHELBY, NC
ZIP 28150-862
Phone: (980) 487-1148
Fax: (704) 487-7753

The provider's authorized official is Daniel L. Wiens .
The authorized official title is Senior Vice President Of Operations and has the following contact phone number (704) 355-0648.

The enumeration date for this NPI number is 11/21/2006 and was last updated on 7/12/2013.

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	207Q00000X	Family Medicine				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
1	2335645A	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA
2	5905818	MEDICAID	NORTH CAROLINA
3	NPB304	MEDICAID	SOUTH 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

NPI Synchronization or Removal

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