MEDICARE: COUNTY OF ROWAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0050X	Non-Surgical Family Planning Clinic/Center
2	261QM2500X	Medical Specialty Clinic/Center
3	261QP2300X	Primary Care Clinic/Center
4	291U00000X	Clinical Medical Laboratory	34D0672502	NC
5	3336C0002X	Clinic Pharmacy	04190	NC
6	261QP0905X	State or Local Public Health Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427128651
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF ROWAN

Provider Business Mailing Address
First Line	:	1811 E INNES ST
Second Line	:
City	:	SALISBURY
State	:	NC
Zip	:	28146-6030
Country	:	US
Telephone Number	:	704-216-8777
Fax Number	:	704-638-3129

Provider Business Practice Location Address
First Line	:	1811 E INNES ST
Second Line	:
City	:	SALISBURY
State	:	NC
Zip	:	28146-6030
Country	:	US
Telephone Number	:	704-216-8777
Fax Number	:	704-638-3129

Authorized Official
Title or Position	:	INTERIM HEALTH DIRECTOR
Name	:	MS. NINA M. OLIVER
Credential	:	MS
Telephone Number	:	704-216-8871

Provider Enumeration Date	:	11/08/2006
Last Update Date	:	12/23/2013

Similar Medicare Providers

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1942382940 — DR. LLOYD EMERY NICKERSON M.D.
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1194803437 — COUNTY OF ROWAN
Practice Location Address:

1811 E INNES ST
SALISBURY, NC
28146-6030

Practice Phone: 704-216-8777
Practice Fax: 704-638-3129

1750430112 — ROWAN COUNTY HEALTH DEPARTMENT
Practice Location Address:

1811 E INNES ST
SALISBURY, NC
28146-6030

Practice Phone: 704-216-8777
Practice Fax: 704-638-3129

Directions to “COUNTY OF ROWAN ” Practice Location

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