Provider Demographics
NPI:1972502409
Name:ROWAN REGIONAL MEDICAL CENTER, INC.
Entity Type:Organization
Organization Name:ROWAN REGIONAL MEDICAL CENTER, INC.
Other - Org Name:ROWAN REGIONAL HOME HEALTH AND HOSPICE
Other - Org Type:Doing Business As
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 1:825 W HENDERSON ST STE A
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-2745
Mailing Address - Country:US
Mailing Address - Phone:704-637-7645
Mailing Address - Fax:704-637-9901
Practice Address - Street 1:825 W HENDERSON ST STE A
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-2745
Practice Address - Country:US
Practice Address - Phone:704-637-7645
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-18
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC0399251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3417116Medicaid
NC3411505Medicaid
NC347116Medicare Oscar/Certification
NC3417116Medicaid