Provider Demographics
NPI:1437250347
Name:COUNTY OF ROWAN
Entity Type:Organization
Organization Name:COUNTY OF ROWAN
Other - Org Name:ROWAN COUNTY AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FINACE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:HEIDRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-216-8177
Mailing Address - Street 1:130 WEST INNES STREET
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144
Mailing Address - Country:US
Mailing Address - Phone:704-216-8160
Mailing Address - Fax:704-216-8166
Practice Address - Street 1:130 WEST INNES STREET
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144
Practice Address - Country:US
Practice Address - Phone:704-216-8160
Practice Address - Fax:704-216-8166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2009-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3406841Medicaid
NC590002302OtherRAILROAD MEDICARE
NC07282OtherBLUE CROSS BLUE SHIELD
NC278107Medicare ID - Type Unspecified