Shelby Family Practice

LBN: Cleveland Health Ventures Llc
Shelby Family Practice is an health care organization with primary practice located at 708 Mcbrayer Homestead Rd , Shelby NC 28152-9532. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Cleveland Health Ventures Llc can be contacted via phone (704) 434-8123, or through Wiens, Daniel L. via phone (704) 355-0648.

Contact Information

Primary practice address
708 Mcbrayer Homestead Rd Shelby NC 28152-9532
Phone: (704) 434-8123
Fax: (704) 434-9919
Website:
Map and Directions
Authorized official contact:
Name: Wiens, Daniel L.
Phone: (704) 355-0648

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1841526712
LBN Legal business name Cleveland Health Ventures Llc
DBA Doing business as Shelby Family Practice
Authorized official Wiens, Daniel L.
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 27th, 2009
Last updated Jun 18th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1841526712 NPPES
North Carolina MEDICAID 5906847
North Carolina MEDICAID NPB305

Popular Providers