| The Charlotte-mecklenburg Hospital Authority | |
| 706 W King St Kings Mountain NC 28086-2708 | |
| (704) 739-3601 | |
| (980) 487-7416 | 
| Full Name | The Charlotte-mecklenburg Hospital Authority | 
|---|---|
| Speciality | Psychiatric Unit | 
| Location | 706 W King St, Kings Mountain, North Carolina | 
| Authorized Official Name and Position | Anthony C Defurio (EVP/CFO) | 
| Authorized Official Contact | 7043553304 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| The Charlotte-mecklenburg Hospital Authority Po Box 60548 Charlotte NC 28260-0548 Ph: (704) 739-3601 | The Charlotte-mecklenburg Hospital Authority 706 W King St Kings Mountain NC 28086-2708 Ph: (704) 739-3601 | 
| NPI Number | 1619372216 | 
|---|---|
| Provider Enumeration Date | 10/27/2014 | 
| Last Update Date | 11/01/2018 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1619372216 | NPI | - | NPPES | 
| 3400037S | Medicaid | NC | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (North Carolina) | Primary | 
| Cleveland County Healthcare System Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 706 W King St, Kings Mountain, NC 28086 Phone: 704-739-3601 Fax: 980-487-7416 | |
| Dynamic Solutions Center For Counseling, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 307 E King St Ste A, Kings Mountain, NC 28086 Phone: 704-214-7237 Fax: 855-306-2963 | |
| Cleveland Health Ventures Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 823 E King St, Kings Mountain, NC 28086 Phone: 704-487-7256 Fax: 704-487-7258 | |
| Essentially Living Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 S Battleground Ave, Kings Mountain, NC 28086 Phone: 704-739-3997 Fax: 704-739-6420 | |
| Premier Service Of Carolina, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 W King St, Kings Mountain, NC 28086 Phone: 704-750-4222 | |
| Diversified Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 S Battleground Ave, Kings Mountain, NC 28086 Phone: 704-739-3997 Fax: 704-739-6420 | |
| Carolinas Physicians Network Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 E King St, Kings Mountain, NC 28086 Phone: 704-510-9900 |