Provider Demographics
NPI:1083080147
Name:ROCKINGHAM COUNTY HEALTHCARE ALLIANCE
Entity Type:Organization
Organization Name:ROCKINGHAM COUNTY HEALTHCARE ALLIANCE
Other - Org Name:JAMES AUSTIN HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KENNON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-623-7711
Mailing Address - Street 1:518 S VAN BUREN RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:EDEN
Mailing Address - State:NC
Mailing Address - Zip Code:27288-5033
Mailing Address - Country:US
Mailing Address - Phone:336-623-7711
Mailing Address - Fax:336-623-7713
Practice Address - Street 1:518 S VAN BUREN RD
Practice Address - Street 2:SUITE 1
Practice Address - City:EDEN
Practice Address - State:NC
Practice Address - Zip Code:27288-5033
Practice Address - Country:US
Practice Address - Phone:336-623-7711
Practice Address - Fax:336-623-7713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-12
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty