NPIMap

Organization Active NPI

Wake Forest University Health Sciences

  • Durable Medical Equipment & Medical Supplies
  • Conover, NC
National Provider Identifier
1447454558
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
WAKE FOREST UNIVERSITY HEALTH SCIENCES
Practice address
3314 16TH Ave SE Ste 12
Conover, NC 28613-9694
Phone
(828) 432-5430
NPI assigned
Jun 13, 2007
Last updated
Jul 11, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
WAKE FOREST UNIVERSITY HEALTH SCIENCESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Authorized official

Name
William Applegate, MD
Title
Interim Pres, Wfu Health Sciences
Phone
(336) 716-4424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3314 16TH Ave SE Ste 12
Conover, NC 28613-9694

Mailing address

PO Box 344
Winston Salem, NC 27102-0344
Phone (336) 716-4195

Other names 1

  • WFUHS Conover-Hickory DEC Other name

National Provider Directory

National Provider Directory
Tax ID family
Brenner Fit45 organizations share this tax ID, including this one
Part of
Brenner Fit

Other organizations with this tax ID 44

Organizations that report the same tax identification number in the National Provider Directory.

View all 44

Locations

3314 16th Ave SE
Ste 12
Conover, NC 28613
Phone (828) 432-5430

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1447454558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 344",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271020344",
            "telephone_number": "336-716-4195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3314 16TH AVE SE STE 12",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286139694",
            "telephone_number": "828-432-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE FOREST UNIVERSITY HEALTH SCIENCES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAKE FOREST UNIVERSITY HEALTH SCIENCES",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "APPLEGATE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "INTERIM PRES, WFU HEALTH SCIENCES",
        "authorized_official_telephone_number": "336-716-4424",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WFUHS Conover-Hickory DEC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Conover, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.