Shelby Children'S Clinic

LBN: Cleveland Health Ventures, Llc
Shelby Children'S Clinic is an health care organization with primary practice located at 709 N Dekalb St , Shelby NC 28150-3911. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Cleveland Health Ventures, Llc can be contacted via phone (980) 487-2100, or through Wiens, Daniel L via phone (704) 355-0648.

Contact Information

Primary practice address
709 N Dekalb St Shelby NC 28150-3911
Phone: (980) 487-2100
Fax: (704) 482-8779
Website:
Map and Directions
Authorized official contact:
Name: Wiens, Daniel L
Phone: (704) 355-0648

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1598830408
LBN Legal business name Cleveland Health Ventures, Llc
DBA Doing business as Shelby Children'S Clinic
Authorized official Wiens, Daniel L
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 24th, 2006
Last updated Aug 6th, 2013 - about 12 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 1598830408 NPPES
North Carolina MEDICAID 5905769
North Carolina MEDICAID 5905487
North Carolina MEDICAID 6006026

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