# FOUNDATION HEALTH SYSTEMS CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Springwood Care Center of Forsyth
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619974177
- **Authorized official:** FRED M. HARGETT (EVP CFO)
- **Authorized official phone:** (704) 384-5184

## Contact information

- **Practice address:** 5755 SHATTALON DRIVE, WINSTON SALEM, NC 27105-1332
- **Practice address phone:** (336) 767-2750
- **Practice address fax:** (336) 767-3862
- **Mailing address:** 5755 SHATTALON DRIVE, WINSTON SALEM, NC 27105-1332
- **Mailing address phone:** (336) 767-2750
- **Mailing address fax:** (336) 767-3862

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0423 | NC | Yes |

## Other

- **Enumeration date:** 06/30/2005
- **Last updated:** 10/26/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3406406 | — | NC |
| 05 | — | 3435039 | — | NC |