Organization
LIFELINE - AUXILIARY OF FORSYTH MEMORIAL HOSPITAL
Active
Other names
FMC LIFELINE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA BLACKARD (VOLUNTEER AUXILIARY PRESIDENT)
(336) 718-5747
Entity
Organization
Contact information
Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 718-5746
(336) 277-1687
Mailing address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 718-5746
(336) 277-1687
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408573
—
NC
Enumeration date
03/16/2007
Last updated
08/22/2020
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