NPIMap

Organization Active NPI

Cabarrus Rowan Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Winston Salem, NC
National Provider Identifier
1104789114
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CABARRUS ROWAN COMMUNITY HEALTH CENTERS, INC.
Practice address
3930 Reynolda Rd
Winston Salem, NC 27106-1712
Phone
(336) 703-4283
Fax
(336) 245-4592
NPI assigned
Dec 5, 2025
Organization subpart
Yes
Parent organization
CABARRUS ROWAN COMMUNITY HEALTH CENTERS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mayra Rodriguez-Caceres
Title
Credentialing Specialist
Phone
(704) 792-2315

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

3930 Reynolda Rd
Winston Salem, NC 27106-1712

Mailing address

202D McGill Ave NW
Concord, NC 28025-4615
Phone (704) 792-2242

Other names 1

  • APHS-SHA at Old Town Elementary Student Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cabarrus Rowan Community19 organizations share this tax ID, including this one
Part of
Cabarrus Rowan Community

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

3930 Reynolda Rd
Winston Salem, NC 27106
Phone (336) 703-4283

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1764892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1104789114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202D MCGILL AVE NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254615",
            "telephone_number": "704-792-2242",
            "fax_number": "704-792-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 REYNOLDA RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271061712",
            "telephone_number": "336-703-4283",
            "fax_number": "336-245-4592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CABARRUS ROWAN COMMUNITY HEALTH CENTERS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CABARRUS ROWAN COMMUNITY HEALTH CENTERS, INC.",
        "enumeration_date": "2025-12-05",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ-CACERES",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "704-792-2315"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "APHS-SHA at Old Town Elementary Student Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.