Organization
NORTH CAROLINA BAPTIST HOSPITAL
Active
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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