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WAKE FOREST HEALTH NETWORK LLC NPI 1093219370


NPI Information

NPI: 1093219370
Provider Name: WAKE FOREST HEALTH NETWORK LLC

Doing Business As: ATRIUM HEALTH WAKE FOREST BAPTIST PRIMARY CARE - ASHEBORO

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
223 W WARD ST STE. B
ASHEBORO, NC
ZIP 27203
Phone: (336) 702-1731
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WAKE FOREST HEALTH NETWORK LLC is a multi-specialty clinic center in Asheboro, NC. WAKE FOREST HEALTH NETWORK LLC NPI is 1093219370. The provider is registered as an organization entity type.
The provider Is Doing Business As Atrium Health Wake Forest Baptist Primary Care - Asheboro.

The provider's business location address is:

223 W WARD ST STE. B
ASHEBORO, NC
ZIP 27203-423
Phone: (336) 702-1731
Fax: (336) 636-5145

The provider's authorized official is Russell Mars Howerton .
The authorized official title is Sr Vp Network Phys & Hs Cmo and has the following contact phone number (336) 716-1331.

The enumeration date for this NPI number is 3/21/2018 and was last updated on 11/8/2023.


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
1261QM1300XClinic/CenterMulti-SpecialtyNORTH 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: 4/28/2024

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