Organization
NORTH CAROLINA BAPTIST HOSPITAL
Active
Other names
Wake Forest Baptist Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
CATHLEEN WHEATLEY DNP (PRESIDENT)
(336) 713-4944
Entity
Organization
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2669
(336) 716-6359
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
3400664386
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3400664386
CLIA
NC
01
—
6571
THE JOINT COMMISSION
NC
01
—
H0011
STATE LICENSE
NC
Enumeration date
06/23/2011
Last updated
10/20/2025
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