Wakemed Fuquary Varina Outpatient And Snf

LBN: Wakemed
Wakemed Fuquary Varina Outpatient And Snf is an health care organization with primary practice located at 400 W Ransom St , Fuquay Varina NC 27526-2434. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Wakemed can be contacted via phone (919) 350-4600, or through Devaughn, Michael D via phone (919) 350-8000.

Contact Information

Primary practice address
400 W Ransom St Fuquay Varina NC 27526-2434
Phone: (919) 350-4600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Devaughn, Michael D CPA
Phone: (919) 350-8000

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X H0276 North Carolina

Profile Details

NPI number 1124094008
LBN Legal business name Wakemed
DBA Doing business as Wakemed Fuquary Varina Outpatient And Snf
Authorized official Devaughn, Michael D CPA
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 28th, 2006
Last updated Mar 22nd, 2010 - about 15 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 1124094008 NPPES
North Carolina MEDICAID 3405308
North Carolina MEDICAID 3496096
North Carolina Other 0093C

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