Winston-Salem Healthcare (Capitation Plan)
LBN: Forsyth Medical Group, Llc
Winston-Salem Healthcare (Capitation Plan) is an health care organization with primary practice located at 250 Charlois Blvd Dba Winston-Salem Healthcare (Capitated Plan), Winston Salem NC 27103-1508. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gynecologic Oncology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Forsyth Medical Group, Llc can be contacted via phone (336) 718-1000, or through Bradshaw, Heavenny via phone (336) 679-2661.
Contact Information
Primary practice address
250 Charlois Blvd Dba Winston-Salem Healthcare (Capitated Plan)
Winston Salem NC 27103-1508
Phone: (336) 718-1000
Fax: (336) 718-1298
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1912198672 |
|---|---|
| LBN Legal business name | Forsyth Medical Group, Llc |
| DBA Doing business as | Winston-Salem Healthcare (Capitation Plan) |
| Authorized official | Bradshaw, Heavenny |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 7th, 2007 |
| Last updated | Aug 14th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912198672 | NPPES |
| North Carolina | Other | 015WW | BCBS CAPITATION NUMBER |
| North Carolina | MEDICAID | 590118P | BCBS CAPITATION NUMBER |
| North Carolina | Other | CJ2926 | BCBS CAPITATION NUMBER |
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