Provider Demographics
NPI:1942551577
Name:U.N.H.S. CAROLINA HOSPITAL AUTHORITY
Entity Type:Organization
Organization Name:U.N.H.S. CAROLINA HOSPITAL AUTHORITY
Other - Org Name:LEVERNE CARLTON VENTURES
Other - Org Type:Other Name
Authorized Official - Title/Position:NURSE PRACTITIONER DOCTORATE
Authorized Official - Prefix:DR
Authorized Official - First Name:LEVERNE
Authorized Official - Middle Name:C
Authorized Official - Last Name:CARLTON
Authorized Official - Suffix:
Authorized Official - Credentials:ND DNP PHD
Authorized Official - Phone:202-380-6660
Mailing Address - Street 1:1732 3RD AVE NW
Mailing Address - Street 2:SUITE D
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-4776
Mailing Address - Country:US
Mailing Address - Phone:828-322-2305
Mailing Address - Fax:888-410-2575
Practice Address - Street 1:420 N CENTER ST
Practice Address - Street 2:SUITE 2023806660
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-5033
Practice Address - Country:US
Practice Address - Phone:202-380-6660
Practice Address - Fax:888-410-2575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-22
Last Update Date:2012-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GU615310710261QM0850X
GU240453188S276400000X
GU615312246S282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC244312246SMedicaid
NC244312246SMedicaid
GU240453181QMedicare PIN