Salem Kidney Center Of Wake Forest University in Winston-salem - End-stage Renal Disease (esrd) Treatment
Salem Kidney Center Of Wake Forest University - NPI 1114904141
Salem Kidney Center Of Wake Forest University is a End-stage Renal Disease (esrd) Treatment in Winston-salem, North Carolina. Salem Kidney Center Of Wake Forest University practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Salem Kidney Center Of Wake Forest University is 1114904141. The last update date is 2023-08-15.
Salem Kidney Center Of Wake Forest University's current location address is 2705 Boulder Park Ct, Winston-salem, North Carolina. You can contact this provider via phone number 3367618808 and fax number 3367618864. The mailing address for Salem Kidney Center Of Wake Forest University is 2705 Boulder Park Ct, Winston-salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Salem Kidney Center Of Wake Forest University |
|---|---|
| Address | 2705 Boulder Park Ct, Winston-salem, North Carolina |
| Phone Number | 3367618808 |
| Fax Number | 3367618864 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ASSISTANT |
|---|---|
| Authorized Official Name | Hales L Terry |
| Telephone Number | 3367163003 |
NPI Number Detail
| NPI Number | 1114904141 |
|---|---|
| Provider Enumeration Date | 2005-12-30 |
| Last Updated Date | 2023-08-15 |
Provider Mailing Address Detail
| Address | 2705 Boulder Park Ct |
|---|---|
| City | Winston-salem |
| State | North Carolina (NC) |
| Post Code | 271014776 |
| Phone Number | 3367618808 |
| Fax Number | 3367618864 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
|
Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3402569 | NC | -- | |
| 0055E | NC | BCBS-NC |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Salem Kidney Center Of Wake Forest University by the Centers for Medicare & Medicaid Services?
The Salem Kidney Center Of Wake Forest University has been issued the NPI (National Provider Identifier) 1114904141, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Salem Kidney Center Of Wake Forest University is located?
The Salem Kidney Center Of Wake Forest University is situated at the following address: 2705 Boulder Park Ct, Winston-Salem, NC, 271014776.
What is Salem Kidney Center Of Wake Forest University's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Salem Kidney Center Of Wake Forest University is End-stage Renal Disease (esrd) Treatment, and the taxonomy code that classifies this field of practice is 261Qe0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1114904141 to Salem Kidney Center Of Wake Forest University?
The Centers for Medicare & Medicaid Services assigned the 1114904141 to Salem Kidney Center Of Wake Forest University on 2005-12-30.
As of what date was the information regarding Salem Kidney Center Of Wake Forest University, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Salem Kidney Center Of Wake Forest University, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-08-15.