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WAKE FOREST UNIVERSITY HEALTH SCIENCES NPI 1376117176


NPI Information

NPI: 1376117176
Provider Name: WAKE FOREST UNIVERSITY HEALTH SCIENCES
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 34D2174067

Address:
486 N PATTERSON AVE FL 5
WINSTON SALEM, NC
ZIP 27101
Phone: (336) 713-3868
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WAKE FOREST UNIVERSITY HEALTH SCIENCES is a clinic center in Winston Salem, NC. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). WAKE FOREST UNIVERSITY HEALTH SCIENCES NPI is 1376117176. The provider is registered as an organization entity type.

The provider's business location address is:

486 N PATTERSON AVE FL 5
WINSTON SALEM, NC
ZIP 27101-261
Phone: (336) 713-3868
Fax: (336) 716-4941

The provider's authorized official is Gabrielle Belser .
The authorized official title is Business Manager, Besthealth For Bu and has the following contact phone number (336) 716-3379.

The CLIA number assigned to this NPI record is 34D2174067 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2021 and was last updated on 5/17/2021.


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
1261Q00000XClinic/CenterYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.