Provider Demographics
NPI:1346379260
Name:PUBLIC HEALTH AUTHORITY OF CABARRUS COUNTY
Entity Type:Organization
Organization Name:PUBLIC HEALTH AUTHORITY OF CABARRUS COUNTY
Other - Org Name:CABARRUS HEALTH ALLIANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PUBLIC HEALTH DIRECTOR, CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:FRED
Authorized Official - Last Name:PILKINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:D P H
Authorized Official - Phone:704-920-1000
Mailing Address - Street 1:300 MOORESVILLE ROAD
Mailing Address - Street 2:
Mailing Address - City:KANNAPOLIS
Mailing Address - State:NC
Mailing Address - Zip Code:28081-0304
Mailing Address - Country:US
Mailing Address - Phone:704-920-1000
Mailing Address - Fax:704-920-1002
Practice Address - Street 1:300 MOORESVILLE ROAD
Practice Address - Street 2:
Practice Address - City:KANNAPOLIS
Practice Address - State:NC
Practice Address - Zip Code:28081-0304
Practice Address - Country:US
Practice Address - Phone:704-920-1000
Practice Address - Fax:704-920-1002
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PUBLIC HEALTH AUTHORITY OF CABARRUS COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-05
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0720GOtherBCBS GROUP #
NC890143PMedicaid
NC3404313Medicaid
NC3404425Medicaid
NC600002631OtherRAILROAD MEDICARE MASS #
NC3404425Medicaid