| Wake Forest University Health Sciences | |
|
1901 Mooney St Winston Salem NC 27103-3032 | |
| (336) 716-4207 | |
| (336) 713-3244 |
| Full Name | Wake Forest University Health Sciences |
|---|---|
| Speciality | Clinic/Center |
| Location | 1901 Mooney St, Winston Salem, North Carolina |
| Authorized Official Name and Position | Kevin Paul High (PRESIDENT, HEALTH SYSTEM, WFBH) |
| Authorized Official Contact | 3367168021 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wake Forest University Health Sciences 1901 Mooney St Winston Salem NC 27103-3032 Ph: (336) 716-4207 | Wake Forest University Health Sciences 1901 Mooney St Winston Salem NC 27103-3032 Ph: (336) 716-4207 |
| NPI Number | 1134731227 |
|---|---|
| Provider Enumeration Date | 08/19/2020 |
| Last Update Date | 03/17/2021 |
| Medicare PECOS PAC ID | 4486564952 |
|---|---|
| Medicare Enrollment ID | O20201002000823 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134731227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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