Provider Demographics
NPI:1447806443
Name:NOVANT HEALTH ROWAN MEDICAL CENTER LLC
Entity Type:Organization
Organization Name:NOVANT HEALTH ROWAN MEDICAL CENTER LLC
Other - Org Name:NOVANT HEALTH ROWAN MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRES & COO
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:BLABON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-210-5879
Mailing Address - Street 1:2085 FRONTIS PLAZA BLVD
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-5614
Mailing Address - Country:US
Mailing Address - Phone:336-277-7226
Mailing Address - Fax:
Practice Address - Street 1:612 MOCKSVILLE AVE
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-2732
Practice Address - Country:US
Practice Address - Phone:704-210-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-15
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital