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NPI Code Detail

MEDICARE: FOUNDATION HEALTH SYSTEMS, CORP

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 License Number License Number State
1313M00000XNursing Facility/Intermediate Care FacilityNH0423NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801848841
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOUNDATION HEALTH SYSTEMS, CORP
Provider Business Mailing Address
First Line : 2085 FRONTIS PLAZA BLVD
Second Line :
City : WINSTON-SALEM
State : NC
Zip : 27103-5614
Country : US
Telephone Number : 336-277-1065
Fax Number : 336-277-1152
Provider Business Practice Location Address
First Line : 5755 SHATTALON DR
Second Line :
City : WINSTON-SALEM
State : NC
Zip : 27105-1332
Country : US
Telephone Number : 336-718-6800
Fax Number :
Authorized Official
Title or Position : EVP/CFO
Name : DEAN SWINDLE
Credential :
Telephone Number : 336-718-2014
Provider Enumeration Date : 05/17/2006
Last Update Date : 04/11/2008

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