Organization Name: | CABARRUS ROWAN COMMUNITY HEALTH CENTERS, INC. |
NPI Number: | 1528304235 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KIM WAGENAAR (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 308 E Centerview St China Grove |
State: | NC US |
Postal Code: | 280232553 |
Phone Number: | 7047922245 |
Fax Number: | 7047922250 |
NPI Enumeration Date: | 12/27/2012 |
NPI Last Update Date: | 08/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | 207Q00000X |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |