WAKE FOREST UNIVERSITY HEALTH SCIENCES
NPI 1245757665
Clinic/Center in Statesville, NC
NPI Status: Active since August 25, 2017
Contact Information
557 BROOKDALE DR
STATESVILLE, NC
ZIP 28677
Phone: (336) 716-2255
- Organization
- Clinic/Center
- CLIA Number: 34D0247244
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-31-2025
About WAKE FOREST UNIVERSITY HEALTH SCIENCES
This page provides the complete NPI Profile along with additional information for Wake Forest University Health Sciences, a provider established in Statesville, North Carolina operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1245757665 assigned on August 2017. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Kevin Paul High Md (Evp Health System Affairs)
- NPI
- 1245757665
- Provider Name
- WAKE FOREST UNIVERSITY HEALTH SCIENCES
- Entity Type
- Organization
- Location Address
- 557 BROOKDALE DR STATESVILLE, NC 28677
- Location Phone
- (336) 716-2255
- Mailing Address
- MEDICAL CENTER BLVD WINSTON SALEM, NC 27157
- Mailing Phone
- (336) 716-2255
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-25-2017
- Last Update Date
- 08-25-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D0247244
- Facility Type
- Physician Office
- Certificate Effective Date
- September 27, 2023
- Certificate Expiration Date
- October 31, 2025
- Laboratory Director
- ANDREW M. FARLAND
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Wake Forest University Health Sciences after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1245757665, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
STATESVILLE, NC 28677
STATESVILLE, NC 28677
STATESVILLE, NC 28677
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245757665, enumerated as an "organization" on August 25, 2017.
The provider is located at 557 BROOKDALE DR STATESVILLE, NC 28677 and the phone number is (336) 716-2255.
Clinic/Center with taxonomy code 261Q00000X.
