Healthcare Provider Details

I. General information

NPI: 1679812010
Provider Name (Legal Business Name): ROWAN REGIONAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2013
Last Update Date: 04/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

911 W HENDERSON ST SUITE 230
SALISBURY NC
28144-2700
US

IV. Provider business mailing address

PO BOX 751588
CHARLOTTE NC
28275-1588
US

V. Phone/Fax

Practice location:
  • Phone: 704-633-9620
  • Fax: 704-633-7504
Mailing address:
  • Phone: 704-633-9620
  • Fax: 704-633-7504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DARISE CALDWELL
Title or Position: PRESIDENT & COO OF NH RMC
Credential:
Phone: 704-384-7606