Organization
FOUNDATION HEALTH SYSTEMS CORP
Active
Other names
Salem MRI
Organization subpart
No
Provider details
NPI number
Authorized official
FRED M. HARGETT (EVP/CFO)
(704) 384-5184
Entity
Organization
Contact information
Practice address
1701 S HAWTHORNE RD, WINSTON-SALEM, NC 27103-4015
(336) 277-0200
Mailing address
2085 FRONTIS PLAZA BLVD, WINSTON-SALEM, NC 27103-5614
(336) 277-7226
(336) 277-9795
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890259E
—
NC
Enumeration date
05/12/2006
Last updated
10/26/2010
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