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WAKE FOREST UNIVERSITY HEALTH SCIENCES NPI 1912082645


NPI Information

NPI: 1912082645
Provider Name: WAKE FOREST UNIVERSITY HEALTH SCIENCES

Other Name: AMOS COTTAGE - CDSA

Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
3325 SILAS CREEK PKWY
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 774-2408
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WAKE FOREST UNIVERSITY HEALTH SCIENCES is a developmental disabilities clinic center in Winston Salem, NC. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). WAKE FOREST UNIVERSITY HEALTH SCIENCES NPI is 1912082645. The provider is registered as an organization entity type.
The provider Other Name Is Amos Cottage - Cdsa.

The provider's business location address is:

3325 SILAS CREEK PKWY
WINSTON SALEM, NC
ZIP 27103-013
Phone: (336) 774-2408

The provider's authorized official is William B Applegate .
The authorized official title is Interim Pres, Wfu Health Sciences and has the following contact phone number (336) 716-4424.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 10/28/2010.


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
1261QD1600XClinic/CenterDevelopmental DisabilitiesYes

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
13403410MEDICAIDNORTH 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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