Cmc Eastland Family Practice

LBN: The Charlotte-Mecklenburg Hospital Authority
Cmc Eastland Family Practice is an health care organization with primary practice located at 5516 Central Ave , Charlotte NC 28212-2708. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. The Charlotte-Mecklenburg Hospital Authority can be contacted via phone (704) 355-2000, or through Gombar, Greg via phone (704) 355-2154.

Contact Information

Primary practice address
5516 Central Ave Charlotte NC 28212-2708
Phone: (704) 355-2000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gombar, Greg
Phone: (704) 355-2154

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1891841623
LBN Legal business name The Charlotte-Mecklenburg Hospital Authority
DBA Doing business as Cmc Eastland Family Practice
Authorized official Gombar, Greg
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2007
Last updated Apr 19th, 2011 - about 13 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 1891841623 NPPES
North Carolina MEDICAID 8901771
North Carolina MEDICAID NPA589

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