Atrium Health Wake Forest Baptist Ear, Nose & Throat - Greensboro
LBN: Wake Forest Health Network Llc
Atrium Health Wake Forest Baptist Ear, Nose & Throat - Greensboro is an health care organization with primary practice located at 1132 N Church St Ste 200 , Greensboro NC 27401-1040. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty.
Wake Forest Health Network Llc can be contacted via phone (336) 379-9445, or through Howerton, Russell Mars via phone (336) 716-1331.
Contact Information
Primary practice address
1132 N Church St Ste 200
Greensboro NC 27401-1040
Phone: (336) 379-9445
Fax: (336) 544-7180
Website:
Authorized official contact:
Name: Howerton, Russell Mars Doctor of Medicine (MD)
Phone: (336) 716-1331
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X |
Profile Details
| NPI number | 1114293818 |
|---|---|
| LBN Legal business name | Wake Forest Health Network Llc |
| DBA Doing business as | Atrium Health Wake Forest Baptist Ear, Nose & Throat - Greensboro |
| Authorized official | Howerton, Russell Mars Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 27th, 2012 |
| Last updated | Feb 5th, 2024 - about 2 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 | 1114293818 | NPPES |
| North Carolina | MEDICAID | 1053351965 |
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