CAROLINAS MEDICAL CENTER
Complete NPI Record 1295789907
General Acute Care Hospital in Charlotte, NC
Active since May 19, 2006
Complete NPI Dataset
This page contains the complete raw NPPES record for Carolinas Medical Center (NPI 1295789907), a general acute care hospital organization in Charlotte, NC. All 46 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1295789907 Field 1/46
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/46
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/46
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: CAROLINAS MEDICAL CENTER Field 4/46
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider First Line Business Mailing Address: PO BOX 32861 Field 5/46
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: CHARLOTTE Field 6/46
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: NC Field 7/46
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 282322861 Field 8/46
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 9/46
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider First Line Business Practice Location Address: 1000 BLYTHE BLVD Field 10/46
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: CHARLOTTE Field 11/46
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: NC Field 12/46
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 282035812 Field 13/46
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 14/46
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 7043552000 Field 15/46
- The telephone number associated with the location address of the provider being identified.
- Authorized Official Last Name: DEFURIO Field 18/46
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: ANTHONY Field 19/46
- The first name of the authorized official.
- Authorized Official Middle Name: C Field 20/46
- The middle name of the authorized official.
- Authorized Official Title or Position: EVP/CFO Field 21/46
- The title or position of the authorized official.
- Authorized Official Telephone Number: 7043553304 Field 22/46
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 282N00000X Field 23/46
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 1: H0071 Field 24/46
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
- Provider License Number State Code 1: NC Field 25/46
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 26/46
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Other Provider Identifier 1: 235027 Field 27/46
- An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
- Other Provider Identifier Type Code 1: 01 Field 28/46
- A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
- Other Provider Identifier State 1: NC Field 29/46
- The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
- Other Provider Identifier Issuer 1: MEDICARE - OUTPATIENT -CMC HOSP Field 30/46
- The name of the organization, agency, or health plan that assigned the additional provider identifier. This identifies who issued the number linked to Other Provider Identifier 1 (for example, a state Medicaid agency, Medicare, or a private insurance company).
- Other Provider Identifier 2: 235027XX Field 31/46
- An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
- Other Provider Identifier Type Code 2: 01 Field 32/46
- A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
- Other Provider Identifier State 2: NC Field 33/46
- The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
- Other Provider Identifier Issuer 2: MEDICARE - OUTPATIENT -PSYCH Field 34/46
- The name of the organization, agency, or health plan that assigned the additional provider identifier. This identifies who issued the number linked to Other Provider Identifier 1 (for example, a state Medicaid agency, Medicare, or a private insurance company).
- Other Provider Identifier 3: 8000240 (CRNA) Field 35/46
- An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
- Other Provider Identifier Type Code 3: 05 Field 36/46
- A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
- Other Provider Identifier State 3: NC Field 37/46
- The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
- Other Provider Identifier 4: 3400113 Field 38/46
- An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
- Other Provider Identifier Type Code 4: 05 Field 39/46
- A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
- Other Provider Identifier State 4: NC Field 40/46
- The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
- Other Provider Identifier 5: 890161H (PROFEE) Field 41/46
- An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
- Other Provider Identifier Type Code 5: 05 Field 42/46
- A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
- Other Provider Identifier State 5: NC Field 43/46
- The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
- Is Organization Subpart: N Field 44/46
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
- Authorized Official Name Prefix Text: MR. Field 45/46
- The prefix used in the name of the authorized official associated with the provider's NPI record. Examples include Mr., Ms., Mrs., Dr., or other common professional or personal prefixes.
Secondary Practice Locations 40
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
1025 Morehead Medical Dr Ste 100
Location 1/40Charlotte, NC 28204-2964 · Phone (704) 446-5200
1601 Abbey Pl Ste 100
Location 2/40Charlotte, NC 28209-3836 · Phone (704) 512-5370
251 Eastway Dr
Location 3/40Charlotte, NC 28213-7103 · Phone (704) 446-9991
1001 Blythe Blvd Ste 100
Location 4/40Charlotte, NC 28203-5866 · Phone (704) 355-1660
201 E Grover St Rm 1134
Location 5/40Shelby, NC 28150-3917 · Phone (980) 487-2600
6965 Fairview Rd
Location 6/40Charlotte, NC 28210-6965 · Phone (704) 631-1300
1310 E Morehead St Rm 1000B
Location 7/40Charlotte, NC 28204-2914 · Phone (980) 442-3400
1021 Morehead Medical Dr Ste 70100
Location 8/40Charlotte, NC 28204-2990 · Phone (980) 442-2500
10660 Park Rd Ste 2100
Location 9/40Charlotte, NC 28210-8420 · Phone (980) 442-0410
1225 Harding Pl Ste 1100
Location 10/40Charlotte, NC 28204-2826 · Phone (704) 512-5370
1225 Harding Pl Ste 4200
Location 11/40Charlotte, NC 28204-2826 · Phone (704) 446-1900
447 McAlister Rd Ste 1500
Location 12/40Lincolnton, NC 28092-4132 · Phone (980) 212-2000
1350 S Kings Dr
Location 13/40Charlotte, NC 28207-2134 · Phone (704) 446-4490
1010 Edgehill Rd N
Location 14/40Charlotte, NC 28207-1885 · Phone (704) 446-1900
200 Medical Park Dr Ste 200
Location 15/40Concord, NC 28025-0900 · Phone (704) 403-1370
447 McAlister Rd Ste 1600
Location 16/40Lincolnton, NC 28092-4133 · Phone (980) 212-2000
1001 Blythe Blvd Ste 601
Location 17/40Charlotte, NC 28203-6107 · Phone (704) 381-9900
1001 Blythe Blvd Ste 200
Location 18/40Charlotte, NC 28203-5865 · Phone (704) 381-8840
3621 Randolph Rd Ste 100
Location 19/40Charlotte, NC 28211-0027 · Phone (704) 512-3056
1550 Faulk St Ste 1500
Location 20/40Monroe, NC 28112-5088 · Phone (980) 442-0430
1100 Healing Way Ste 31
Location 21/40Matthews, NC 28104-5159 · Phone (980) 442-9385
10660 Park Rd Ste 1100A
Location 22/40Charlotte, NC 28210-8420 · Phone (980) 442-0140
100 Medical Park Dr Ste 110
Location 23/40Concord, NC 28025-2966 · Phone (704) 403-1370
1021 Morehead Medical Dr Ste 5300
Location 24/40Charlotte, NC 28204-2993 · Phone (980) 442-4363
945B N 5th St
Location 25/40Albemarle, NC 28001-3417 · Phone (704) 323-7790
15830 Ballantyne Medical Pl Ste 200
Location 26/40Charlotte, NC 28277-0761 · Phone (980) 442-9600
901 East Blvd
Location 27/40Charlotte, NC 28203-5203 · Phone (704) 355-2760
1025 Morehead Medical Dr Ste 300
Location 28/40Charlotte, NC 28204-2966 · Phone (704) 355-4593
1801 Rozzelles Ferry Rd
Location 29/40Charlotte, NC 28208-4228 · Phone (704) 446-9987
1000 Blythe Blvd Bldg 2nd
Location 30/40Charlotte, NC 28203-5812 · Phone (704) 355-2165
1025 Morehead Medical Dr Ste 500
Location 31/40Charlotte, NC 28204-2968 · Phone (704) 335-3149
1025 Morehead Medical Dr Ste 225
Location 32/40Charlotte, NC 28204-2974 · Phone (704) 355-7150
1025 Morehead Medical Dr Ste 600
Location 33/40Charlotte, NC 28204-2969 · Phone (704) 355-6649
16455 Statesville Rd Ste 280
Location 34/40Huntersville, NC 28078-7134 · Phone (980) 442-4600
4525 Cameron Valley Pkwy Ste 3500
Location 35/40Charlotte, NC 28211-4389 · Phone (704) 442-2000
1021 Morehead Medical Dr Ste 50200
Location 36/40Charlotte, NC 28204-2990 · Phone (980) 442-6410
1437 Scott Ave
Location 37/40Charlotte, NC 28203-5843 · Phone (704) 446-5860
101 E Wt Harris Blvd Ste 5500
Location 38/40Charlotte, NC 28262-3485 · Phone (704) 381-8840
2001 Vail Ave Ste 400
Location 39/40Charlotte, NC 28207-1222 · Phone (704) 304-7000
3541 Randolph Rd Ste 206
Location 40/40Charlotte, NC 28211-1253 · Phone (704) 381-8336
Other Provider Identifiers 5
Legacy and payer-issued identifiers reported to the NPPES registry for this provider.
235027 Other
Identifier 1/5State: NC · Issuer: Medicare - Outpatient -cmc Hosp
Other: An additional provider identifier that does not correspond to any of the other defined identifier type categories.
Other: An additional provider identifier that does not correspond to any of the other defined identifier type categories.
235027XX Other
Identifier 2/5State: NC · Issuer: Medicare - Outpatient -psych
Other: An additional provider identifier that does not correspond to any of the other defined identifier type categories.
Other: An additional provider identifier that does not correspond to any of the other defined identifier type categories.
8000240 (CRNA) Medicaid
Identifier 3/5State: NC
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
3400113 Medicaid
Identifier 4/5State: NC
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
890161H (PROFEE) Medicaid
Identifier 5/5State: NC
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
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