Southern Wake Medical Center

LBN: Southern Wake Medical Center
Southern Wake Medical Center is an health care organization with primary practice located at 415 Wake Chapel Rd , Fuquay Varina NC 27526-1956. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Southern Wake Medical Center can be contacted via phone (919) 552-9143, or through Yowell, Donna M via phone (919) 557-4319.

Contact Information

Primary practice address
415 Wake Chapel Rd Fuquay Varina NC 27526-1956
Phone: (919) 552-9143
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Yowell, Donna M
Phone: (919) 557-4319

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1568526812
LBN Legal business name Southern Wake Medical Center
DBA Doing business as
Authorized official Yowell, Donna M
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2006
Last updated Aug 22nd, 2020 - about 5 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 1568526812 NPPES
North Carolina MEDICAID 7902981
North Carolina Other 02981

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