National Provider Identifier

The Charlotte-Mecklenburg Hospital Authority

The Charlotte-Mecklenburg Hospital Authority is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Charlotte, NC and a listed phone number of (704) 446-0391.

NPI 1124593470Charlotte, NCAddiction (Substance Use Disorder) Counselor

Source: public NPPES record, last updated March 09, 2023. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1124593470
Provider Type
Organization
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
October 12, 2018
Last Updated
March 09, 2023

Practice Location

  • 7825 Ballantyne Commons Pkwy
  • Ste 110
  • Charlotte, NC 28277-3174

Phone: (704) 446-0391

Mailing Address

  • PO Box 19305
  • Charlotte, NC 28219-9305

Authorized Official

Name
Scott Rissmiller
Title
Enterprise Evp
Phone
(704) 355-8675

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
  • Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X)
  • Social Worker (104100000X)

Endpoints

  • https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service

    Connect Url | Other | Ability Network | Minneapolis, MN 55403

    2.16.840.1.113883.3.667.2

  • Ambulatory@direct.carolinashealthcare.org

    Direct Messaging Address | Atrium Health | Charlotte, NC 28277

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Full Record
NPI
1124593470
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
The Charlotte-Mecklenburg Hospital Authority
Other Organization Name
<Unavail>
Provider Other Organization Name Type Code
6
Mailing Street Address
PO Box 19305
Mailing City
Charlotte
Mailing State
NC
Mailing ZIP Code
28219-9305
Mailing Country
US
Mailing Phone
(704) 631-0002
Practice Street Address
7825 Ballantyne Commons Pkwy
Practice Address Line 2
Ste 110
Practice City
Charlotte
Practice State
NC
Practice ZIP Code
28277-3174
Practice Country
US
Practice Phone
(704) 446-0391
Enumeration Date
October 12, 2018
Last Updated
March 09, 2023
Authorized Official Last Name
Rissmiller
Authorized Official First Name
Scott
Authorized Official Title
Enterprise Evp
Authorized Official Phone
(704) 355-8675
Organization Subpart
Yes
Parent Organization Name
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Parent Organization TIN
<UNAVAIL>
Taxonomy Group 1
193200000X Multi-Specialty Group
Taxonomy Group 2
193200000X Multi-Specialty Group
Taxonomy Group 3
193200000X Multi-Specialty Group
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X), Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), Social Worker (104100000X)