Atrium Health Wake Forest Baptist Women'S Imaging Center
LBN: Wake Forest Health Network Llc
Atrium Health Wake Forest Baptist Women'S Imaging Center is an health care organization with primary practice located at 1814 Westchester Drive Suite 200, High Point NC 27262-7369. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty.
Wake Forest Health Network Llc can be contacted via phone (336) 802-2185, or through Howerton, Russell Mars via phone (336) 716-1331.
Contact Information
Primary practice address
1814 Westchester Drive Suite 200
High Point NC 27262-7369
Phone: (336) 802-2185
Fax: (336) 802-2186
Website:
Authorized official contact:
Name: Howerton, Russell Mars Doctor of Medicine (MD)
Phone: (336) 716-1331
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ||
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X |
Profile Details
| NPI number | 1013031301 |
|---|---|
| LBN Legal business name | Wake Forest Health Network Llc |
| DBA Doing business as | Atrium Health Wake Forest Baptist Women'S Imaging Center |
| Authorized official | Howerton, Russell Mars Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Nov 29th, 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 | 1013031301 | NPPES |
| North Carolina | Other | 0275Q | BCBS |
| North Carolina | Other | CC4243 | BCBS |
| North Carolina | Other | 23180 | BCBS |
| North Carolina | Other | 7262737 | BCBS |
| North Carolina | Other | CC4242 | BCBS |
| North Carolina | Other | CD6614 | BCBS |
| North Carolina | Other | CF9200 | BCBS |
| North Carolina | MEDICAID | 89012U2 | BCBS |
| North Carolina | Other | CB8658 | BCBS |
| North Carolina | Other | CC4241 | BCBS |
| North Carolina | Other | CC6608 | BCBS |
| North Carolina | Other | 271662 | BCBS |
| North Carolina | MEDICAID | 89012U1 | BCBS |
| North Carolina | Other | CC5472 | BCBS |
| North Carolina | Other | D266 | BCBS |
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