Atrium Health Wake Forest Baptist Endocrinology - Premier
LBN: Wake Forest Health Network Llc
Atrium Health Wake Forest Baptist Endocrinology - Premier is an health care organization with primary practice located at 4515 Premier Drive Suite 401, High Point NC 27265-8350. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as the primary health care specialty.
Wake Forest Health Network Llc can be contacted via phone (336) 802-2240, or through Howerton, Russell Mars via phone (336) 716-1331.
Contact Information
Primary practice address
4515 Premier Drive Suite 401
High Point NC 27265-8350
Phone: (336) 802-2240
Fax: (336) 802-2241
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 / Endocrinology, Diabetes & Metabolism | 207RE0101X |
Profile Details
| NPI number | 1609109099 |
|---|---|
| LBN Legal business name | Wake Forest Health Network Llc |
| DBA Doing business as | Atrium Health Wake Forest Baptist Endocrinology - Premier |
| Authorized official | Howerton, Russell Mars Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 16th, 2009 |
| Last updated | Nov 8th, 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 | 1609109099 | NPPES |
| North Carolina | MEDICAID | 5913177 |
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