Healthcare Provider Details

I. General information

NPI: 1346379260
Provider Name (Legal Business Name): PUBLIC HEALTH AUTHORITY OF CABARRUS COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MOORESVILLE RD
KANNAPOLIS NC
28081-0304
US

IV. Provider business mailing address

300 MOORESVILLE RD
KANNAPOLIS NC
28081-0304
US

V. Phone/Fax

Practice location:
  • Phone: 704-920-1205
  • Fax: 704-933-3345
Mailing address:
  • Phone: 704-920-1000
  • Fax: 704-933-3345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health 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