Friedburg Family Medicine
LBN: Forsyth Memorial Hospital, Inc
Friedburg Family Medicine is an health care organization with primary practice located at 5010 Peters Creek Pkwy Dba Friedburg Family Medicine, Winston Salem NC 27127-7276. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Forsyth Memorial Hospital, Inc can be contacted via phone (336) 788-4664, or through Grier, Michele via phone (336) 788-4664.
Contact Information
Primary practice address
5010 Peters Creek Pkwy Dba Friedburg Family Medicine
Winston Salem NC 27127-7276
Phone: (336) 788-4664
Fax: (336) 788-0753
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1912051939 |
|---|---|
| LBN Legal business name | Forsyth Memorial Hospital, Inc |
| DBA Doing business as | Friedburg Family Medicine |
| Authorized official | Grier, Michele |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Aug 14th, 2008 - about 17 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 | 1912051939 | NPPES |
| North Carolina | Other | 019C9 | BCBS PIN |
| North Carolina | MEDICAID | 5906033 | BCBS PIN |
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