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NPI Code Detail

MEDICARE: MEDICAL PARK HOSPITAL LLC

MEDICARE: MEDICAL PARK HOSPITAL LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care HospitalH0229NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538111828
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICAL PARK HOSPITAL LLC
Provider Business Mailing Address
First Line : 2085 FRONTIS PLAZA BLVD
Second Line :
City : WINSTON-SALEM
State : NC
Zip : 27103-5614
Country : US
Telephone Number : 336-277-7226
Fax Number : 336-277-9795
Provider Business Practice Location Address
First Line : 1950 S HAWTHORNE RD
Second Line :
City : WINSTON-SALEM
State : NC
Zip : 27103-3912
Country : US
Telephone Number : 336-718-0600
Fax Number :
Authorized Official
Title or Position : PRES & COO
Name : ALISHA HUTCHENS
Credential :
Telephone Number : 336-995-8885
Provider Enumeration Date : 05/16/2006
Last Update Date : 03/22/2024

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Directions to “MEDICAL PARK HOSPITAL LLC ” Practice Location

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