WAKE FOREST HEALTH NETWORK LLC NPI 1245006311

NPI Information

  • NPI: 1245006311
  • Provider Name: WAKE FOREST HEALTH NETWORK LLC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Doing Business As: LIVEWELL CLINICS
  • Address: MEDICAL CENTER BOULEVARD
    GROUND FLOOR, MEADS HALL
    WINSTON SALEM, NC
    ZIP 27106
  • Phone: (336) 716-2255

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NPI Details

WAKE FOREST HEALTH NETWORK LLC is a multi-specialty clinic center in Winston Salem, NC. WAKE FOREST HEALTH NETWORK LLC NPI is 1245006311. The provider is registered as an organization entity type.
The provider Is Doing Business As Livewell Clinics.

The provider's business location address is:

MEDICAL CENTER BOULEVARD
GROUND FLOOR, MEADS HALL
WINSTON SALEM, NC
ZIP 27106
Phone: (336) 716-2255

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

The enumeration date for this NPI number is 11/30/2023 and was last updated on 12/5/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyYes

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: 11/21/2025

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