| Wake Forest Health Network, Llc | |
|
4515 Premier Dr Suite 201 High Point NC 27265-8357 | |
| (336) 802-2610 | |
| (336) 802-2611 |
| Full Name | Wake Forest Health Network, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4515 Premier Dr, High Point, 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 4515 Premier Dr Ste 201 High Point NC 27265-8356 Ph: (336) 802-2610 | Wake Forest Health Network, Llc 4515 Premier Dr Suite 201 High Point NC 27265-8357 Ph: (336) 802-2610 |
| NPI Number | 1700901436 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 09/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700901436 | NPI | - | NPPES |
| CC4241 | Other | NC | RR MEDICARE |
| 269374 | Other | NC | MAMSI |
| 0246K | Other | NC | BCBS |
| D266 | Other | NC | PARTNERS MEDICARE CHOICE |
| 1212660012 | Other | NC | DME |
| 890246K | Medicaid | NC | |
| 7446746 | Other | NC | AETNA |
| CB8658 | Other | NC | RRMC GROUP |
| CC4243 | Other | NC | RR MEDICARE |
| CD6614 | Other | NC | RR MEDICARE |
| 50132 | Other | NC | MEDCOST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Wake Forest Health Network Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4515 Premier Dr Ste 405, High Point, NC 27265 Phone: 336-802-2105 Fax: 336-802-2106 | |
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