Healthcare Provider Details

I. General information

NPI: 1699638601
Provider Name (Legal Business Name): CABARRUS ROWAN COMMUNITY HEALTH CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3815 OLD GREENSBORO RD
WINSTON SALEM NC
27101-2037
US

IV. Provider business mailing address

202D MCGILL AVE NW
CONCORD NC
28025-4615
US

V. Phone/Fax

Practice location:
  • Phone: 336-661-3129
  • Fax: 336-245-4592
Mailing address:
  • Phone: 704-792-2242
  • Fax: 704-792-2250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: MAYRA RODRIGUEZ-CACERES
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 704-792-2315