Atrium Health Wake Forest Baptist Family Medicine - Deep River
LBN: Wake Forest Health Network Llc
Atrium Health Wake Forest Baptist Family Medicine - Deep River is an health care organization with primary practice located at 138 Dublin Square Rd Ste C, Asheboro NC 27203-8601. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Wake Forest Health Network Llc can be contacted via phone (336) 625-3333, or through Howerton, Russell Mars via phone (336) 716-1331.
Contact Information
Primary practice address
138 Dublin Square Rd Ste C
Asheboro NC 27203-8601
Phone: (336) 625-3333
Fax: (336) 626-8233
Website:
Authorized official contact:
Name: Howerton, Russell Mars Doctor of Medicine (MD)
Phone: (336) 716-1331
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X |
Profile Details
| NPI number | 1225153984 |
|---|---|
| LBN Legal business name | Wake Forest Health Network Llc |
| DBA Doing business as | Atrium Health Wake Forest Baptist Family Medicine - Deep River |
| Authorized official | Howerton, Russell Mars Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 20th, 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 | 1225153984 | NPPES |
| North Carolina | Other | A0325 | MEDCOST |
| North Carolina | Other | 269374 | MEDCOST |
| North Carolina | Other | 017HN | MEDCOST |
| North Carolina | Other | D266 | MEDCOST |
| North Carolina | Other | CC4241 | MEDCOST |
| North Carolina | Other | CD6614 | MEDCOST |
| North Carolina | MEDICAID | 5901954 | MEDCOST |
| North Carolina | Other | CB8658 | MEDCOST |
| North Carolina | Other | CC4243 | MEDCOST |
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