| School Health Alliance For Forsyth County | |
|
4555 Ogburn Ave Winston Salem NC 27105-2726 | |
| (336) 661-4952 | |
| (336) 661-4954 |
| Full Name | School Health Alliance For Forsyth County |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 4555 Ogburn Ave, Winston Salem, North Carolina |
| Authorized Official Name and Position | Tracy Bradshaw (PRACTICE MANAGER) |
| Authorized Official Contact | 3367137188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| School Health Alliance For Forsyth County 1 Medical Center Blvd Wfbh Attn: Tracy Bradshaw Winston Salem NC 27157-0001 Ph: (336) 713-7188 | School Health Alliance For Forsyth County 4555 Ogburn Ave Winston Salem NC 27105-2726 Ph: (336) 661-4952 |
| NPI Number | 1831439637 |
|---|---|
| Provider Enumeration Date | 02/15/2013 |
| Last Update Date | 02/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831439637 | NPI | - | NPPES |
| 89011N0 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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