Novant Health Premier Medical Associates
LBN: Forsyth Memorial Hospital Inc
Novant Health Premier Medical Associates is an health care organization with primary practice located at 3333 Brookview Hills Blvd Suite 204, Winston Salem NC 27103-5661. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, 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 Memorial Hospital Inc can be contacted via phone (336) 774-3740, or through Walton, Leea Jeanine via phone (704) 316-6081.
Contact Information
Primary practice address
3333 Brookview Hills Blvd Suite 204
Winston Salem NC 27103-5661
Phone: (336) 774-3740
Fax: (336) 774-3780
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1851371066 |
|---|---|
| LBN Legal business name | Forsyth Memorial Hospital Inc |
| DBA Doing business as | Novant Health Premier Medical Associates |
| Authorized official | Walton, Leea Jeanine |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Jul 11th, 2023 - about last year |
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 | 1851371066 | NPPES |
| North Carolina | Other | 015TK | GROUP BCBS NUMBER |
| North Carolina | Other | 2452425 | GROUP BCBS NUMBER |
| North Carolina | Other | 02570 | GROUP BCBS NUMBER |
| North Carolina | MEDICAID | CA89015TK | GROUP BCBS NUMBER |
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