Organization
FOUNDATION HEALTH SYSTEMS CORP
Active
Other names
Hawthorne Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
FRED M HARGETT (EVP CFO)
(704) 384-5184
Entity
Organization
Contact information
Practice address
1999 SOUTH HAWTHORNE RD, WINSTON-SALEM, NC 27103
(336) 718-6800
Mailing address
2085 FRONTIS PLAZA BLVD., WINSTON-SALEM, NC 27103
(336) 277-7226
(336) 277-9795
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0061H
BCBS
NC
Enumeration date
01/30/2007
Last updated
11/11/2010
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