NPIMap

Organization Active NPI

Wake Forest Health Network LLC

  • Multi-Specialty Clinic/Center
  • Winston Salem, NC
National Provider Identifier
1285400747
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
WAKE FOREST HEALTH NETWORK LLC
Practice address
500 W 5TH St
Winston Salem, NC 27101-2778
Phone
(743) 212-2022
Fax
(336) 702-9402
NPI assigned
Nov 27, 2023
Organization subpart
Yes
Parent organization
WAKE FOREST HEALTH NETWORK LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Russell Mars Howerton
Title
Sr VP Network Phys & Hscmo
Phone
(336) 716-1331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

500 W 5TH St
Winston Salem, NC 27101-2778

Mailing address

100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Phone (336) 716-1331

Other names 1

  • Flow Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Corerstone HLTH Care55 organizations share this tax ID, including this one
Part of
Corerstone HLTH Care

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

500 W 5th St
Winston Salem, NC 27101
Phone (743) 212-2022

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1285400747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KIMEL FOREST DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036074",
            "telephone_number": "336-716-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W 5TH ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012778",
            "telephone_number": "743-212-2022",
            "fax_number": "336-702-9402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE FOREST HEALTH NETWORK LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAKE FOREST HEALTH NETWORK LLC",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "HOWERTON",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "MARS",
        "authorized_official_title_or_position": "SR VP NETWORK PHYS & HSCMO",
        "authorized_official_telephone_number": "336-716-1331"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flow",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.