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HIGHLAND OAKS DIALYSIS CENTER OF WAKE FOREST UNIVERSITY NPI 1083287379


NPI Information

NPI: 1083287379
Provider Name: HIGHLAND OAKS DIALYSIS CENTER OF WAKE FOREST UNIVERSITY

Doing Business As: HIGHLAND OAKS DIALYSIS CENTER

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 34D2237292

Address:
730 HIGHLAND OAKS DR STE 101
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 793-0189
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HIGHLAND OAKS DIALYSIS CENTER OF WAKE FOREST UNIVERSITY is an end-stage renal disease (esrd) treatment clinic center in Winston Salem, NC. HIGHLAND OAKS DIALYSIS CENTER OF WAKE FOREST UNIVERSITY NPI is 1083287379. The provider is registered as an organization entity type.
The provider Is Doing Business As Highland Oaks Dialysis Center.

The provider's business location address is:

730 HIGHLAND OAKS DR STE 101
WINSTON SALEM, NC
ZIP 27103-108
Phone: (336) 793-0189
Fax: (336) 793-0275

The provider's authorized official is William F Mcdonald .
The authorized official title is Director Of Development and has the following contact phone number (229) 387-3527.

The CLIA number assigned to this NPI record is 34D2237292 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/23/2021 and was last updated on 8/15/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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