Organization
FORSYTH MEMORIAL HOSPITAL, INC
Active
Parent organization
FORSYTH MEMORIAL HOSPITAL, INC
Other names
Community Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
FORSYTH MEMORIAL HOSPITAL, INC
Authorized official
JEFFERY T LINDSAY (MANAGED CARE MANAGER)
(336) 718-2056
Entity
Organization
Contact information
Practice address
3333 SILAS CREEK PKWY, DBA COMMUNITY CARE, WINSTON SALEM, NC 27103-3013
(336) 718-4820
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 718-4820
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89012TT
—
NC
01
—
CA1315
RAILROAD MEDICARE
NC
Enumeration date
05/04/2006
Last updated
07/20/2011
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