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Contact Information

WAKE FOREST BAPTIST MEDICAL CENTER COMMUNITY PHYSICIANS
2295 EAST 14TH ST
STE 100
WINSTON-SALEM, NC27105
 Phone: 336-725-0514
 Fax: 336-725-2173
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for WAKE FOREST BAPTIST MEDICAL CENTER COMMUNITY PHYSICIANS

NPI Number 1326031543
LBN Legal business name WAKE FOREST BAPTIST MEDICAL CENTER COMMUNITY PHYSICIANS
Authorized official LEWIS THORP - (PRESIDENT/CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/23/2005
Last updated 04/10/2008 - About 18 years ago
Identifiers
NC Medicaid 890228U
NC Other 2317728I MEDICARE GROUP NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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