| Atrium Health Wake Forest Baptist Family Medicine - Archdale | |
|
10188 N Main St Archdale NC 27263-2906 | |
| (336) 802-2070 | |
| (336) 802-2071 |
| Full Name | Atrium Health Wake Forest Baptist Family Medicine - Archdale |
|---|---|
| Speciality | Family Medicine |
| Location | 10188 N Main St, Archdale, North Carolina |
| Authorized Official Name and Position | Russell Mars Howerton (SR VP NETWORK PHYS & HS CMO) |
| Authorized Official Contact | 3367161331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atrium Health Wake Forest Baptist Family Medicine - Archdale 100 Kimel Forest Dr Winston Salem NC 27103-6074 Ph: (336) 716-1331 | Atrium Health Wake Forest Baptist Family Medicine - Archdale 10188 N Main St Archdale NC 27263-2906 Ph: (336) 802-2070 |
| NPI Number | 1730203506 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 11/08/2023 |
| 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 |
Uwharrie Medical Center, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 207 Balfour Dr, Suite 102, Archdale, NC 27263 Phone: 336-875-8134 Fax: 336-875-8136 | |
Archdale Family Practice Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11635 N Main St Ste E, Archdale, NC 27263 Phone: 336-861-4110 Fax: 336-861-4295 | |
Triseasons Healthcare Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Alison Ln, Archdale, NC 27263 Phone: 336-883-8633 Fax: 202-379-1739 |