NPIMap

Cabarrus Rowan Community Health Centers, Inc.

Organization Active NPI Federally Qualified Health Center (FQHC) · Salisbury, NC

NPI 1336780576 · NPPES record last updated Aug 3, 2026

Key facts

NPI
1336780576
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
CABARRUS ROWAN COMMUNITY HEALTH CENTERS, INC.
Practice address
330 Jake Alexander Blvd W
Ste 102, 103
Salisbury, NC 28147-1384
Phone
(704) 519-2366
NPI assigned
Sep 30, 2019
Organization subpart
No

Authorized official

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

Owned or controlled facilities with NPI records 1

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

Other NPIs on the same Medicare enrollment 5

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

Other NPIs with the same Medicare PAC ID 5

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

Corporate family (same tax ID) 18

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

Practitioners 62

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 62

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in NC

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
Corporation · Non-profit
Incorporated
Nov 19, 2003 in NC
Enrollment address
330 Jake Alexander Blvd W
Ste 102
Salisbury, NC 28147-1385

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 Employee
Admin Assistant		 Jan 30, 2013
Tiffany C Glenn
Individual 		W-2 Managing Employee
Billing Manager		 Jul 28, 2019
Danita Washington
Individual 		Corporate Director
Coo		 Jan 2, 2019
W-2 Managing Employee
Coo		 Jan 2, 2019
Don Holloman
Individual 		Corporate Officer Oct 8, 2018
Corporate Director
Ceo		 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 Center
Charlotte, NC · CCN B61020		 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Oct 18, 2018
Oct 8, 2018

Medicare enrollment records

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

National Provider Directory

Tax ID family
Cabarrus Rowan Community (19 organizations share this tax ID)

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X
Federally Qualified Health Center (FQHC) 261QF0400X Yes

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

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

Other providers in Salisbury, NC

All providers in Salisbury, NC · Federally Qualified Health Center (FQHC) in North Carolina

Sources for this page

Verify at the official NPI Registry.