Atrium Health Wake Forest Baptist Family Medicine - Conover
LBN: Wake Forest Health Network Llc
Atrium Health Wake Forest Baptist Family Medicine - Conover is an health care organization with primary practice located at 305 1St St E , Conover NC 28613-1715. 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 (828) 464-3821, or through Howerton, Russell Mars via phone (336) 716-1331.
Contact Information
Primary practice address
305 1St St E
Conover NC 28613-1715
Phone: (828) 464-3821
Fax: (828) 464-8994
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 | 1326313735 |
|---|---|
| LBN Legal business name | Wake Forest Health Network Llc |
| DBA Doing business as | Atrium Health Wake Forest Baptist Family Medicine - Conover |
| Authorized official | Howerton, Russell Mars Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 19th, 2012 |
| Last updated | Feb 5th, 2024 - about 10 months 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 | 1326313735 | NPPES |
| North Carolina | MEDICAID | 5920103 |
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