NPIMap

Organization Active NPI

Cabarrus Rowan Community Health Centers, Inc.

Doing business as Aphs - Salisbury Health Center

  • Federally Qualified Health Center (FQHC)
  • Salisbury, NC
National Provider Identifier
1336780576
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.
Doing business as
Aphs - Salisbury Health Center
Salisbury Health Center
Practice address
330 Jake Alexander Blvd W
Ste 102, 103
Salisbury, NC 28147-1384
Phone
(704) 519-2366
NPI assigned
Sep 30, 2019
Last updated
Aug 3, 2026By the provider in NPPES
Organization subpart
No

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
Don Holloman, M.ED, CEO
Title
Chief Executive Officer
Phone
(704) 792-2203

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

330 Jake Alexander Blvd W
Ste 102, 103
Salisbury, NC 28147-1384

Mailing address

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

Other names 2

  • APHS - SALISBURY HEALTH CENTER Doing business as
  • Salisbury Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051108000967 NC Part B Supplier - Clinic/Group Practice 9638197635 Receives reassigned benefits from 64 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Charlotte, NC; China Grove, NC; Concord, NC; Salisbury, NC; Spencer, NC
O20191113000346 NC Part A Provider - Federally Qualified Health Center (FQHC) 9638197635 Practice locations: Salisbury, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336780576. Details of each certification follow.

Federally qualified health center certification: CCN 341132

Legal name
CABARRUS ROWAN COMMUNITY HEALTH CENTERS INC
Doing business as
SALISBURY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 13, 2019
Last certification
Nov 13, 2019
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Nov 19, 2003 in NC
Enrollment address
330 Jake Alexander Blvd W
Ste 102
Salisbury, NC 28147-1385

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

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

Other organizations with this tax ID 18

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

View all 18

Locations

300 W Jake Alexander Blvd
Ste 103
Salisbury, NC 28147

330 Jake Alexander Blvd W
Ste 102
Salisbury, NC 28147
Phone (704) 519-2366

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Stacy M Vanderburg Individual W-2 Managing EmployeeAdmin Assistant Jan 30, 2013
Tiffany C Glenn Individual W-2 Managing EmployeeBilling Manager Jul 28, 2019
Danita Washington Individual Corporate DirectorCoo Jan 2, 2019
W-2 Managing EmployeeCoo Jan 2, 2019
Don Holloman Individual Corporate Officer Oct 8, 2018
Corporate DirectorCeo Oct 8, 2018

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sugar Creek Health CenterCharlotte, NC, CCN B61020 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Oct 18, 2018
Oct 8, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 60

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 60

NPI Registry JSON

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1336780576",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 JAKE ALEXANDER BLVD W",
            "address_2": "STE 102, 103",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281471384",
            "telephone_number": "704-519-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CABARRUS ROWAN COMMUNITY HEALTH CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-30",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "HOLLOMAN",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "704-792-2203",
        "authorized_official_credential": "M.ED, CEO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "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 - SALISBURY HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Salisbury Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salisbury, NC

Sources for this page

Verify at the official NPI Registry.