MEDICARE: ROWAN COUNTY HEALTH DEPARTMENT

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	3336C0002X	Clinic Pharmacy	04190	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0723L	OTHER	NC	BLUECROSSBLUESHIELD OF NC
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750430112
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROWAN COUNTY HEALTH DEPARTMENT

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	:	HEALTH DIRECTOR
Name	:	MR. LEONARD L. WOOD
Credential	:	MPH
Telephone Number	:	704-216-8871

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	08/22/2020

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Directions to “ROWAN COUNTY HEALTH DEPARTMENT ” Practice Location

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