Organization
FOUNDATIONS HEALTH SYSTEMS CORP
Active
Other names
The Oaks at Forsyth
Organization subpart
No
Provider details
NPI number
Authorized official
FRED M. HARGETT (EVP CFO)
(704) 384-5184
Entity
Organization
Contact information
Practice address
901 BETHESDA ROAD, WINSTON SALEM, NC 27103-3015
(336) 768-2211
(336) 774-6545
Mailing address
901 BETHESDA ROAD, WINSTON SALEM, NC 27103-3015
(336) 768-2211
(336) 774-6545
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0439
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0095N
BLUE CROSS BLUE SHIELD
NC
05
—
3405284
—
NC
05
—
3406435
—
NC
01
—
5250
PARTNERS MEDICARE CHOICE
NC
Enumeration date
06/21/2005
Last updated
10/26/2010
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