# FOUNDATION HEALTH SYSTEMS CORP

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

## Provider details

- **NPI number:** 1356488688
- **Authorized official:** FRED M HARGETT (EVP CFO)
- **Authorized official phone:** (704) 384-5184

## Contact information

- **Practice address:** 1999 SOUTH HAWTHORNE RD, WINSTON-SALEM, NC 27103
- **Practice address phone:** (336) 718-6800
- **Mailing address:** 2085 FRONTIS PLAZA BLVD., WINSTON-SALEM, NC 27103
- **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:** 01/30/2007
- **Last updated:** 11/11/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0061H | BCBS | NC |
