Wakemed Mycare 365 Primary & Urgent Care Wake Forest
LBN: Wake Specialty Physicians Llc
Wakemed Mycare 365 Primary & Urgent Care Wake Forest is an health care organization with primary practice located at 2001 S Main St Ste 200 , Wake Forest NC 27587-1652. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Urgent Care, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Wake Specialty Physicians Llc can be contacted via phone (919) 350-0365, or through Brink, Shondra Lynn via phone (919) 350-6045.
Contact Information
Primary practice address
2001 S Main St Ste 200
Wake Forest NC 27587-1652
Phone: (919) 350-0365
Fax: (919) 235-1307
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ||
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1245820091 |
|---|---|
| LBN Legal business name | Wake Specialty Physicians Llc |
| DBA Doing business as | Wakemed Mycare 365 Primary & Urgent Care Wake Forest |
| Authorized official | Brink, Shondra Lynn |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 25th, 2021 |
| Last updated | Jan 28th, 2021 - about 3 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 | 1245820091 | NPPES |
| North Carolina | MEDICAID | 1346852407 |
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