Provider Demographics
NPI:1043379746
Name:CABARRUS COUNTY
Entity Type:Organization
Organization Name:CABARRUS COUNTY
Other - Org Name:CABARRUS COUNTY DEPARTMENT OF HUMAN SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FINANCE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:PASTORES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-920-1569
Mailing Address - Street 1:PO BOX 707
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28026-0707
Mailing Address - Country:US
Mailing Address - Phone:704-920-1400
Mailing Address - Fax:704-920-1401
Practice Address - Street 1:1303 S CANNON BLVD
Practice Address - Street 2:
Practice Address - City:KANNAPOLIS
Practice Address - State:NC
Practice Address - Zip Code:28083-6232
Practice Address - Country:US
Practice Address - Phone:704-920-1550
Practice Address - Fax:704-920-1401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251K00000X
343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3408276Medicaid