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:
Health care specialties
| Specialty | Code | License # | 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 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598830408 | NPPES |
| North Carolina | MEDICAID | 5905769 | |
| North Carolina | MEDICAID | 5905487 | |
| North Carolina | MEDICAID | 6006026 |
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