Peace Haven Internal Medicine
LBN: Wake Forest University Baptist Medical Center Community Physicians
Peace Haven Internal Medicine is an health care organization with primary practice located at 1930 North Peace Haven Rd , Winston Salem NC 27106-4817. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Wake Forest University Baptist Medical Center Community Physicians can be contacted via phone (336) 760-5400, or through Thorp, Lewis S via phone (336) 721-3900.
Contact Information
Primary practice address
1930 North Peace Haven Rd
Winston Salem NC 27106-4817
Phone: (336) 760-5400
Fax: (336) 760-0254
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | North Carolina |
Profile Details
| NPI number | 1073506358 |
|---|---|
| LBN Legal business name | Wake Forest University Baptist Medical Center Community Physicians |
| DBA Doing business as | Peace Haven Internal Medicine |
| Authorized official | Thorp, Lewis S |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Apr 10th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073506358 | NPPES |
| North Carolina | MEDICAID | 890237T | |
| North Carolina | Other | 2317728F |
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