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Provider Information for 1487866315

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THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

Other Name:   Doing Business As: ATRIUM HEALTH CABARRUS
Organization Subpart: NO

Organization NPI: 1487866315

Calendar   Last Updated:  2019-10-02
  Certification Date: 

Details

Name Value
NPI 1487866315
Enumeration Date 2007-05-04
NPI Type 2- Organization
Status Active
Authorized Official Information Name: MR. ANTHONY C DEFURIO
Title: EVP/CFO
Phone: 704-355-3304
Mailing Address PO BOX 669347
CHARLOTTE, NC 28266-9347
United States

Phone: 704-512-6438 | Fax: 704-512-6485
View Map External Link
Primary Practice Address 920 CHURCH ST N
CONCORD, NC 28025-2927
United States

Phone: 704-403-3000 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID NC 89129P9
MEDICAID NC 3400001
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 282N00000X - General Acute Care Hospital NC