Organization
WAKE FOREST HEALTH NETWORK LLC
Active
Parent organization
WAKE FOREST HEALTH NETWORK LLC
Other names
Samaritans Purse
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAKE FOREST HEALTH NETWORK LLC
Authorized official
RUSSELL MARS HOWERTON (SR VP NETWORK PHYS & HSCMO)
(336) 716-1331
Entity
Organization
Contact information
Practice address
188 MILTON BROWN HEIRS RD, BOONE, NC 28607-8344
(828) 588-2020
(336) 716-1591
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-1331
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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