Novant Health Forsyth Behavioral Health Outpatient

LBN: Forsyth Memorial Hospital Inc
Novant Health Forsyth Behavioral Health Outpatient is an health care organization with primary practice located at 175 Kimel Park Dr Suite 100, Winston Salem NC 27103-6951. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Forsyth Memorial Hospital Inc can be contacted via phone (336) 277-1800, or through Walton, Leea Jeanine via phone (704) 316-6081.

Contact Information

Primary practice address
175 Kimel Park Dr Suite 100 Winston Salem NC 27103-6951
Fax: (336) 277-6981
Website:
Authorized official contact:
Name: Walton, Leea Jeanine

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1346427200
LBN Legal business name Forsyth Memorial Hospital Inc
DBA Doing business as Novant Health Forsyth Behavioral Health Outpatient
Authorized official Walton, Leea Jeanine
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2008
Last updated Jul 10th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346427200 NPPES
North Carolina MEDICAID 89012TT
North Carolina Other 89012TT

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