COMMUNITY CARE CENTER FOR FORSYTH COUNTY NPI 1801002290

NPI Information

COMMUNITY CARE CENTER FOR FORSYTH COUNTY is a community health clinic center in Winston Salem, NC. COMMUNITY CARE CENTER FOR FORSYTH COUNTY NPI is 1801002290. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Doctors Care.

The provider's business location address is:

2135 NEW WALKERTOWN RD
WINSTON SALEM, NC
ZIP 27101-420
Phone: (336) 723-7904
Fax: (336) 723-4163

The provider's authorized official is James Robinson .
The authorized official title is Executive Director and has the following contact phone number (336) 760-1235.

The CLIA number assigned to this NPI record is 34D0979137 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/15/2007 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:

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