WAKE FOREST HEALTH NETWORK LLC NPI 1326313735

NPI Information

  • NPI: 1326313735
  • Provider Name: WAKE FOREST HEALTH NETWORK LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 34D0246874
  • Address: 305 1ST ST E
    CONOVER, NC
    ZIP 28613
  • Phone: (828) 464-3821

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NPI Details

WAKE FOREST HEALTH NETWORK LLC is a family medicine in Conover, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WAKE FOREST HEALTH NETWORK LLC NPI is 1326313735. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

305 1ST ST E
CONOVER, NC
ZIP 28613-715
Phone: (828) 464-3821
Fax: (828) 464-8994

The provider's authorized official is Craig Michael Greven .
The authorized official title is Sr Vp Clinical Operations and has the following contact phone number (336) 716-1331.

The CLIA number assigned to this NPI record is 34D0246874 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/19/2012 and was last updated on 9/25/2025.

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
1207Q00000XFamily MedicineYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15920103MEDICAIDNORTH 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: 11/21/2025

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