Organization · Type 2 NPI

Wake Forest Health Network LLC

Multi-Specialty Clinic/Center · Winston Salem, NC

NPI number 1245006311 Active

Practice location

Medical Center Boulevard, Ground Floor, Meads Hall
Winston Salem, NC 27106

Call (336) 716-2255 Map

Mailing address

100 Kimel Forest Dr
Winston Salem, NC 27103-6074

Other practice locations

575 N Patterson Ave Ste 148, Winston Salem, NC 27101-4177 · (336) 716-2255
1370 W D St, North Wilkesboro, NC 28659-3506 · (336) 716-2255
306 Westwood Ave Ste 401, High Point, NC 27262-4342 · (336) 716-2255

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed

Multi-Specialty Clinic/Center: Definition to come...

Another provider at this address

Jane Elizabeth Hodges, CRNACertified Registered Nurse Anesthetist Winston Salem, NC NPI 1053394890

Other multi-specialty clinic/center providers in Winston Salem

See all in Winston Salem →

NPI record

NPI: 1245006311
Entity type: Organization (Type 2)
Issued: Nov 30, 2023
Last updated: Dec 5, 2023
Status: Active
Subpart: Yes of Wake Forest Health Network LLC

Other names

<unavail>
Livewell Clinics · doing business as
Livewell Clinics · doing business as

Authorized official

Russell Mars Howerton
SR VP Network Phys & Hscmo
(336) 716-1331

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1245006311

Wake Forest Health Network LLC's National Provider Identifier is 1245006311, issued on Nov 30, 2023. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Winston Salem, NC. The record was last updated on Dec 5, 2023.