| Wake Forest Health Network Llc | |
|
10188 N Main St Archdale NC 27263-2906 | |
| (336) 802-2070 | |
| (336) 802-2071 |
| Full Name | Wake Forest Health Network Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 10188 N Main St, Archdale, North Carolina |
| Authorized Official Name and Position | Craig Michael Greven (SR VP CLINICAL OPERATIONS) |
| Authorized Official Contact | 3367161331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wake Forest Health Network Llc 10188 N Main St Archdale NC 27263-2906 Ph: (336) 802-2070 | Wake Forest Health Network Llc 10188 N Main St Archdale NC 27263-2906 Ph: (336) 802-2070 |
| NPI Number | 1730203506 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 09/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730203506 | NPI | - | NPPES |
| 1212660021 | Other | NC | DME |
| 5908889 | Medicaid | NC | |
| CC4243 | Other | NC | RR MEDICARE |
| 0247K | Other | NC | BCBS |
| CC4241 | Other | NC | RR MEDICARE |
| D266 | Other | NC | PARTNERS |
| 25220 | Other | NC | MEDCOST |
| 890247K | Medicaid | NC | |
| CD6614 | Other | NC | RR MEDICARE |
| 7584779 | Other | NC | AETNA |
| CB8658 | Other | NC | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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