Wake Forest University Health Sciences

LBN: Wake Forest University Health Sciences
Wake Forest University Health Sciences is an health care organization with primary practice located at 557 Brookdale Dr , Statesville NC 28677-4107. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Wake Forest University Health Sciences can be contacted via phone (336) 716-2255, or through High, Kevin Paul via phone (336) 716-4724.

Contact Information

Primary practice address
557 Brookdale Dr Statesville NC 28677-4107
Phone: (336) 716-2255
Fax:
Website:
Map and Directions
Authorized official contact:
Name: High, Kevin Paul Doctor of Medicine (MD)
Phone: (336) 716-4724

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1245757665
LBN Legal business name Wake Forest University Health Sciences
DBA Doing business as
Authorized official High, Kevin Paul Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2017
Last updated Aug 25th, 2017 - about 7 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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