Provider Demographics
NPI:1386140945
Name:NOVANT HEALTH ROWAN MEDICAL CENTER LLC
Entity type:Organization
Organization Name:NOVANT HEALTH ROWAN MEDICAL CENTER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & COO
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:BLABON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-277-8757
Mailing Address - Street 1:2085 FRONTIS PLAZA BLVD FL 3
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-5614
Mailing Address - Country:US
Mailing Address - Phone:336-277-8757
Mailing Address - Fax:336-718-8916
Practice Address - Street 1:1229 STATESVILLE BLVD
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144
Practice Address - Country:US
Practice Address - Phone:704-210-7900
Practice Address - Fax:704-210-7901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-03
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based