Healthcare Provider Details

I. General information

NPI: 1558419986
Provider Name (Legal Business Name): ROWAN COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 12/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1811 E INNES ST
SALISBURY NC
28146-6030
US

IV. Provider business mailing address

1811 E INNES ST
SALISBURY NC
28146-6030
US

V. Phone/Fax

Practice location:
  • Phone: 704-216-8777
  • Fax: 704-638-3129
Mailing address:
  • Phone: 704-216-8777
  • Fax: 704-638-3129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number34D0672502
License Number StateNC

VIII. Authorized Official

Name: MS. NINA M. OLIVER
Title or Position: INTERIM HEALTH DIRECTOR
Credential: MS
Phone: 704-216-8871