Organization
CABARRUS ROWAN COMMUNITY HEALTH CENTERS, INC.
Active
Other names
Salisbury Health Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DON HOLLOMAN M.ED, CEO (CHIEF EXECUTIVE OFFICER)
(704) 792-2203
Entity
Organization
Contact information
Practice address
330 JAKE ALEXANDER BLVD W STE 103, SALISBURY, NC 28147-1385
(704) 519-2366
Mailing address
202 MCGILL AVE NW STE D, CONCORD, NC 28025-4615
(704) 792-2256
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344535A
—
NC
Enumeration date
10/01/2021
Last updated
02/07/2022
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