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Contact Information

WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER COMMUNITY PHYSICIANS
1930 NORTH PEACE HAVEN RD
WINSTON-SALEM, NC27106
 Phone: 336-760-5400
 Fax: 336-760-0254
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

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

NPI Number 1831182187
LBN Legal business name WAKE FOREST UNIVERSITY 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 890237U
NC Other 2317728F 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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