Kings Mountain Medical Center

LBN: Cleco Primary Care Network
Kings Mountain Medical Center is an health care organization with primary practice located at 812 West King Street , Kings Mountain NC 28086. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Cleco Primary Care Network can be contacted via phone (704) 480-9344, or through Jordan, Michelle Hoyle via phone (704) 480-1087.

Contact Information

Primary practice address
812 West King Street Kings Mountain NC 28086
Fax: (704) 739-5271
Website:
Authorized official contact:
Name: Jordan, Michelle Hoyle

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1093795155
LBN Legal business name Cleco Primary Care Network
DBA Doing business as Kings Mountain Medical Center
Authorized official Jordan, Michelle Hoyle
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 17th, 2006
Last updated Mar 21st, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093795155 NPPES
North Carolina MEDICAID 343963A

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