Provider Demographics
NPI:1548765613
Name:UNC ROCKINGHAM HEALTH CARE, INC.
Entity Type:Organization
Organization Name:UNC ROCKINGHAM HEALTH CARE, INC.
Other - Org Name:UNC ROCKINGHAM SURGICAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:HUNTER
Authorized Official - Middle Name:WALTER
Authorized Official - Last Name:WAGSTAFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:984-974-1266
Mailing Address - Street 1:211 FRIDAY CENTER DR STE 2057
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-9499
Mailing Address - Country:US
Mailing Address - Phone:984-974-1281
Mailing Address - Fax:
Practice Address - Street 1:515 THOMPSON ST STE B
Practice Address - Street 2:
Practice Address - City:EDEN
Practice Address - State:NC
Practice Address - Zip Code:27288-5040
Practice Address - Country:US
Practice Address - Phone:336-623-9118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-29
Last Update Date:2018-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty