# FOUNDATION HEALTH SYSTEMS, CORP.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hawthorne Surgical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316999873
- **Authorized official:** FRED M. HARGETT (EVP/CFO)
- **Authorized official phone:** (704) 384-5184

## Contact information

- **Practice address:** 1999 S HAWTHORNE RD, WINSTON-SALEM, NC 27103-3916
- **Practice address phone:** (336) 718-6800
- **Mailing address:** 2085 FRONTIS PLAZA BLVD, WINSTON-SALEM, NC 27103-5614
- **Mailing address phone:** (336) 277-7226
- **Mailing address fax:** (336) 277-9795

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/16/2006
- **Last updated:** 10/14/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3409840 | — | NC |