Amos Cottage - Cdsa

LBN: Wake Forest University Health Sciences
Amos Cottage - Cdsa is an health care organization with primary practice located at 3325 Silas Creek Pkwy , Winston Salem NC 27103-3013. The organization recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as the primary health care specialty. Wake Forest University Health Sciences can be contacted via phone (336) 774-2408, or through Applegate, William B via phone (336) 716-4424.

Contact Information

Primary practice address
3325 Silas Creek Pkwy Winston Salem NC 27103-3013
Fax:
Website:
Authorized official contact:
Name: Applegate, William B Doctor of Medicine (MD)

Health care specialties

Profile Details

NPI number 1912082645
LBN Legal business name Wake Forest University Health Sciences
DBA Doing business as Amos Cottage - Cdsa
Authorized official Applegate, William B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 25th, 2006
Last updated Oct 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 1912082645 NPPES
North Carolina MEDICAID 3403410

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