Organization · Type 2 NPI

The Charlotte-Mecklenburg Hospital Authority

Skilled Nursing Facility · Albemarle, NC

NPI number 1942674775 Active

Practice location

625 Bethany Road
Albemarle, NC 28001

Call (704) 984-7344 Map

Mailing address

PO Box 602006
Charlotte, NC 28260-2066

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	NH0464 (NC)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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NPI record

NPI: 1942674775
Entity type: Organization (Type 2)
Issued: Nov 17, 2015
Last updated: Nov 17, 2015
Status: Active
Subpart: Yes of The Charlotte-Mecklenburg Hospital Authority

Other names

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Stanly Manor · doing business as

Authorized official

Greg A Gombar
Executive Vice President and Chief
(704) 355-2154

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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.

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About NPI 1942674775

The Charlotte-Mecklenburg Hospital Authority's National Provider Identifier is 1942674775, issued on Nov 17, 2015. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Albemarle, NC. The record was last updated on Nov 17, 2015.