Basic Information
| Provider Information | |||||||||
| NPI: | 1538664099 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | UNC ROCKINGHAM HEALTH CARE, INC. | ||||||||
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| OtherOrganizationName: | UNC ROCKINGHAM URGENT CARE - WEST | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 211 FRIDAY CENTER DR STE 2057 | ||||||||
| Address2: | |||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275179499 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9849741281 | ||||||||
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| Practice Location | |||||||||
| Address1: | 6701 NC HIGHWAY 135 | ||||||||
| Address2: | |||||||||
| City: | MAYODAN | ||||||||
| State: | NC | ||||||||
| PostalCode: | 270278487 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3366356816 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/27/2018 | ||||||||
| LastUpdateDate: | 03/27/2018 | ||||||||
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| AuthorizedOfficialLastName: | WAGSTAFF | ||||||||
| AuthorizedOfficialFirstName: | HUNTER | ||||||||
| AuthorizedOfficialMiddleName: | WALTER | ||||||||
| AuthorizedOfficialTitleorPosition: | TREASURER | ||||||||
| AuthorizedOfficialTelephone: | 9849741266 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207PE0004X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Emergency Medicine | Emergency Medical Services |
No ID Information.