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FORSYTH MEMORIAL HOSPITAL INC NPI 1578511606


NPI Information

NPI: 1578511606
Provider Name: FORSYTH MEMORIAL HOSPITAL INC

Doing Business As: NOVANT HEALTH FORSYTH INTERNAL MEDICINE

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 34D0237521

Address:
1381 WESTGATE CENTER DR
WINSTON-SALEM, NC
ZIP 27103
Phone: (336) 718-0100
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FORSYTH MEMORIAL HOSPITAL INC is an internal medicine in Winston-salem, NC. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. FORSYTH MEMORIAL HOSPITAL INC NPI is 1578511606. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Forsyth Internal Medicine.

The provider's business location address is:

1381 WESTGATE CENTER DR
WINSTON-SALEM, NC
ZIP 27103-934
Phone: (336) 718-0100
Fax: (336) 718-0120

The provider's authorized official is Leea Jeanine Walton .
The authorized official title is Rcs Manager and has the following contact phone number (704) 316-6087.

The CLIA number assigned to this NPI record is 34D0237521 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 7/10/2023.


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
1207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101531OTHERNORTH CAROLINABCBD ID#
2CA1315OTHERNORTH CAROLINARAILROAD MCR ID#
32330OTHERNORTH CAROLINAPARTNERS ID#
45425016OTHERNORTH CAROLINAAETNA ID#
56901531MEDICAIDNORTH CAROLINA

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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