Atrium Health Wake Forest Baptist Pediatrics - Premier

LBN: Wake Forest Health Network Llc
Atrium Health Wake Forest Baptist Pediatrics - Premier is an health care organization with primary practice located at 4515 Premier Drive Suite 203, High Point NC 27265-8356. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Wake Forest Health Network Llc can be contacted via phone (336) 802-2200, or through Howerton, Russell Mars via phone (336) 716-1331.

Contact Information

Primary practice address
4515 Premier Drive Suite 203 High Point NC 27265-8356
Fax: (336) 802-2201
Website:
Authorized official contact:
Name: Howerton, Russell Mars Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1346516895
LBN Legal business name Wake Forest Health Network Llc
DBA Doing business as Atrium Health Wake Forest Baptist Pediatrics - Premier
Authorized official Howerton, Russell Mars Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2012
Last updated Nov 29th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346516895 NPPES
North Carolina MEDICAID 5902054

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