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HEALTH STATUS EVALUATIONS LLC NPI 1598835373


NPI Information

NPI: 1598835373
Provider Name: HEALTH STATUS EVALUATIONS LLC
Classification: Preventive Medicine - 2083A0100X
Entity Type: Organization

Specialization: Aerospace Medicine

CLIA Number: 34D0948843

Address:
3801 N LIBERTY ST
SUITE 210 SMITH REYNOLDS AIRPORT TERMINAL
WINSTON SALEM, NC
ZIP 27105
Phone: (336) 744-7171
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HEALTH STATUS EVALUATIONS LLC is an aerospace medicine preventive medicine in Winston Salem, NC. The provider is aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures. HEALTH STATUS EVALUATIONS LLC NPI is 1598835373. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3801 N LIBERTY ST
SUITE 210 SMITH REYNOLDS AIRPORT TERMINAL
WINSTON SALEM, NC
ZIP 27105-968
Phone: (336) 744-7171
Fax: (336) 744-7182

The provider's authorized official is Hubert F Bonfili .
The authorized official title is Medical Director and has the following contact phone number (336) 744-7171.

The CLIA number assigned to this NPI record is 34D0948843 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 8/22/2020.


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
12083A0100XPreventive MedicineAerospace Medicine9300041NORTH CAROLINAYes

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: 11/14/2023

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