Foothills Primary Care

LBN: Wake Forest University Baptist Medical Center Community Physicians
Foothills Primary Care is an health care organization with primary practice located at 910 Worth St Foothills Primary Care, Mount Airy NC 27030-4458. 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 University Baptist Medical Center Community Physicians can be contacted via phone (336) 786-5108, or through Thorp, Lewis S via phone (336) 721-3900.

Contact Information

Primary practice address
910 Worth St Foothills Primary Care Mount Airy NC 27030-4458
Fax: (336) 783-6842
Website:
Authorized official contact:
Name: Thorp, Lewis S

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X North Carolina

Profile Details

NPI number 1477546620
LBN Legal business name Wake Forest University Baptist Medical Center Community Physicians
DBA Doing business as Foothills Primary Care
Authorized official Thorp, Lewis S
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 23rd, 2005
Last updated Jun 28th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477546620 NPPES
North Carolina Other 2317728 MEDICARE GROUP NUMBER
North Carolina MEDICAID 890123T MEDICARE GROUP NUMBER

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