Healthcare Provider Details

I. General information

NPI: 1235274309
Provider Name (Legal Business Name): PUBLIC HEALTH AUTHORITY OF CABARRUS COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date: 03/17/2015
Reactivation Date: 04/20/2015

III. Provider practice location address

280 CONCORD PKWY S STE 110A
CONCORD NC
28027-2704
US

IV. Provider business mailing address

280 CONCORD PKWY S STE 110A
CONCORD NC
28027-2704
US

V. Phone/Fax

Practice location:
  • Phone: 704-920-1070
  • Fax: 704-920-1071
Mailing address:
  • Phone: 704-920-1070
  • Fax: 704-920-1071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ERIN KOLASINSKI SHOE
Title or Position: PUBLIC HEALTH DIRECTOR, CEO
Credential:
Phone: 704-920-1345