Organization · Type 2 NPI

Cleco Primary Care Network

Rural Health Clinic/Center · Kings Mountain, NC

NPI number 1093795155 Active

Practice location

812 West King Street
Kings Mountain, NC 28086

Call (704) 480-9344 Map

Fax (704) 739-5271

Mailing address

808 Schenck St
Shelby, NC 28150-3934

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

NPI record

NPI: 1093795155
Entity type: Organization (Type 2)
Issued: Jan 17, 2006
Last updated: Mar 21, 2019
Status: Active
Subpart: Yes of Cleco Primary Care Network

Other names

<unavail>
Kings Mountain Medical Center · doing business as

Authorized official

Mrs. Michelle Hoyle Jordan
Financial Manager
(704) 480-1087

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1093795155

Cleco Primary Care Network's National Provider Identifier is 1093795155, issued on Jan 17, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Kings Mountain, NC. The record was last updated on Mar 21, 2019.