Atrium Health Wake Forest Baptist Family Medicine - Premier

LBN: Wake Forest Health Network, Llc
Atrium Health Wake Forest Baptist Family Medicine - Premier is an health care organization with primary practice located at 4515 Premier Dr Suite 201, High Point NC 27265-8357. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Wake Forest Health Network, Llc can be contacted via phone (336) 802-2610, or through Howerton, Russell Mars via phone (336) 716-1331.

Contact Information

Primary practice address
4515 Premier Dr Suite 201 High Point NC 27265-8357
Phone: (336) 802-2610
Fax: (336) 802-2611
Website:
Map and Directions
Authorized official contact:
Name: Howerton, Russell Mars Doctor of Medicine (MD)
Phone: (336) 716-1331

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1700901436
LBN Legal business name Wake Forest Health Network, Llc
DBA Doing business as Atrium Health Wake Forest Baptist Family Medicine - Premier
Authorized official Howerton, Russell Mars Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
Last updated Nov 8th, 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 1700901436 NPPES
North Carolina Other CC4241 RR MEDICARE
North Carolina Other 269374 RR MEDICARE
North Carolina Other 0246K RR MEDICARE
North Carolina Other D266 RR MEDICARE
North Carolina Other 1212660012 RR MEDICARE
North Carolina MEDICAID 890246K RR MEDICARE
North Carolina Other 7446746 RR MEDICARE
North Carolina Other CB8658 RR MEDICARE
North Carolina Other CC4243 RR MEDICARE
North Carolina Other CD6614 RR MEDICARE
North Carolina Other 50132 RR MEDICARE

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