Organization
FOUNDATION HEALTH SYSTEMS CORP
Active
Parent organization
NOVANT HEALTH, INC
Other names
NOVANT HEALTH REHABILITATION CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
NOVANT HEALTH, INC
Authorized official
GREG L BIELEC (DIRECTOR REHAB MEDICINE)
(704) 316-1550
Entity
Organization
Contact information
Practice address
2085 FRONTIS PLAZA BLVD, ATTN: FACILITY CREDENTIALING, WINSTON-SALEM, NC 27103
(336) 277-1604
(336) 277-9584
Mailing address
PO BOX 601791, CHARLOTTE, NC 28260-1791
(336) 277-7226
(336) 277-9795
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0527650004
DME NUMBER
NC
01
—
0527650006
DME NUMBER
NC
01
—
0527650007
DME NUMBER
NC
01
—
0527650008
DME NUMBER
NC
Enumeration date
10/24/2016
Last updated
10/24/2016
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