| Upper Cleveland Medical Center | |
|
5009 Fallston Road Lawndale NC 28090 | |
| (704) 480-9344 | |
| (704) 538-5803 |
| Full Name | Upper Cleveland Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 5009 Fallston Road, Lawndale, North Carolina |
| Authorized Official Name and Position | Michelle Hoyle Jordan (FINANCIAL MANAGER) |
| Authorized Official Contact | 7044801087 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Upper Cleveland Medical Center 808 Schenck Street Shelby NC 28150-3934 Ph: (704) 480-1087 | Upper Cleveland Medical Center 5009 Fallston Road Lawndale NC 28090 Ph: (704) 480-9344 |
| NPI Number | 1659351724 |
|---|---|
| Provider Enumeration Date | 01/17/2006 |
| Last Update Date | 03/21/2019 |
| Medicare PECOS PAC ID | 9032020573 |
|---|---|
| Medicare Enrollment ID | O20050727000054 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659351724 | NPI | - | NPPES |
| 343955A | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Kintegra Family Medicine - Fallston Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5009 Fallston Rd, Lawndale, NC 28090 Phone: 704-538-8532 | |
Gaston Family Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Shady Grove Rd, Lawndale, NC 28090 Phone: 704-476-8223 Fax: 704-538-3944 |