Provider Demographics
NPI:1790788636
Name:ROWAN MEDICAL FACILITIES, INC.
Entity Type:Organization
Organization Name:ROWAN MEDICAL FACILITIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EVP CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:FRED
Authorized Official - Middle Name:M
Authorized Official - Last Name:HARGETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-384-5184
Mailing Address - Street 1:PO BOX 2071
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28145-2071
Mailing Address - Country:US
Mailing Address - Phone:704-637-0151
Mailing Address - Fax:704-637-0437
Practice Address - Street 1:126 STATESVILLE BLVD
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-2312
Practice Address - Country:US
Practice Address - Phone:704-637-0151
Practice Address - Fax:704-637-0437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-24
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC00057332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC04939OtherBCBS OF NC PROVIDER NO.
NC7700175Medicaid
NC04939OtherBCBS OF NC PROVIDER NO.