MEDICARE: FOUNDATION HEALTH SYSTEMS CORP

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225X00000X	Occupational Therapist
2	225100000X	Physical Therapist
3	235Z00000X	Speech-Language Pathologist
4	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1558329318
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOUNDATION HEALTH SYSTEMS CORP

Provider Business Mailing Address
First Line	:	2000 FRONTIS PLAZA BLVD STE 200
Second Line	:	(ATTN) FORSYTH MEDICAL GROUP
City	:	WINSTON SALEM
State	:	NC
Zip	:	27103-5616
Country	:	US
Telephone Number	:	336-277-2435
Fax Number	:	336-277-9275

Provider Business Practice Location Address
First Line	:	109 GATEWAY CENTER DR
Second Line	:	DBA EDWIN H. MARTINAT
City	:	KERNERSVILLE
State	:	NC
Zip	:	27284-2999
Country	:	US
Telephone Number	:	336-996-7001
Fax Number	:

Authorized Official
Title or Position	:	EXE.VP & CCO & ADMIN
Name	:	SALLYE LINER
Credential	:
Telephone Number	:	336-718-2004

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	09/11/2025

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Directions to “FOUNDATION HEALTH SYSTEMS CORP ” Practice Location

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