FORSYTH MEDICAL CENTER SKILLED NURSING (FORSYTH MEMORIAL HOSPITAL, INC.) NPI 1306898861

Skilled Nursing Facility in Winston-salem, NC

Organization Skilled Nursing Facility

About FORSYTH MEDICAL CENTER SKILLED NURSING (FORSYTH MEMORIAL HOSPITAL, INC.)

Forsyth Medical Center Skilled Nursing (forsyth Memorial Hospital, Inc.) is a provider established in Winston-salem, North Carolina specializing in skilled nursing facility. The NPI number of Forsyth Medical Center Skilled Nursing (forsyth Memorial Hospital, Inc.) is 1306898861 and was assigned on May 2006. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Forsyth Medical Center Skilled Nursing. The authorized official of this NPI record is Fred M Hargett (Evp/cfo)

NPI

1306898861

Provider NameFORSYTH MEDICAL CENTER SKILLED NURSING (FORSYTH MEMORIAL HOSPITAL, INC.)
Provider Location Address3333 SILAS CREEK PKWY WINSTON-SALEM, NC 27103
Provider Mailing Address2085 FRONTIS PLAZA BLVD WINSTON-SALEM, NC 27103
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameFORSYTH MEDICAL CENTER SKILLED NURSING
Other Name TypeDoing Business As (3)
Enumeration Date05-16-2006
Last Update Date10-14-2010

Primary Taxonomy

Taxonomy Code314000000X
ClassificationSkilled Nursing Facility
TypeNursing & Custodial Care Facilities
Taxonomy Description(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Business Address

FORSYTH MEDICAL CENTER SKILLED NURSING
3333 SILAS CREEK PKWY
WINSTON-SALEM, NC
ZIP 27103
Phone: (336) 718-5000

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Mailing Address

FORSYTH MEDICAL CENTER SKILLED NURSING
2085 FRONTIS PLAZA BLVD
WINSTON-SALEM, NC
ZIP 27103
Phone: (336) 277-7226
Fax: (336) 277-9795

Authorized Official

Authorized Official Name FRED M HARGETT
Authorized Official TitleEVP/CFO
Authorized Official Phone(704) 384-5184

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
3405476MEDICAID (05)NC
345476MEDICARE ID-TYPE UNSPECIFIED (04)

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003805110 BONNIE LYNN GAUDIN PA
Individual
Physician Assistant (Medical)3333 SILAS CREEK PKWY EMERGENCY DEPARTMENT
WINSTON SALEM, NC 27103
(336) 275-3325
1114903432 DAVID BENNETT P.A.
Individual
Physician Assistant3333 SILAS CREEK PKWY EMERGENCY DEPARTMENT
WINSTON-SALEM, NC 27103
(336) 765-9328
1134104086DR. TOBY M. SULLIVAN M.D.
Individual
Emergency Medicine3333 SILAS CREEK PKWY EMERGENCY DEPARTMENT
WINSTON-SALEM, NC 27103
(336) 765-3928
1255317939DR. PETER S. VROOMAN JR. M.D.
Individual
Emergency Medicine3333 SILAS CREEK PKWY EMERGENCY DEPARTMENT
WINSTON-SALEM, NC 27103
(336) 765-9328
1285612523 OLAYINKA D. AKINOLA MD
Individual
Internal Medicine3333 SILAS CREEK PKWY
WINSTON-SALEM, NC 27103
(336) 718-7080
1306822648 ROBERT E. WOOTEN P.A.
Individual
Physician Assistant3333 SILAS CREEK PKWY EMERGENCY DEPT.
WINSTON-SALEM, NC 27103
(336) 765-9328
1346226016DR. GREGORY P. TARLETON M.D.
Individual
Emergency Medicine3333 SILAS CREEK PKWY EMERGENCY DEPARTMENT
WINSTON-SALEM, NC 27103
(336) 765-9358
1356326201DR. DANIEL G. SAYERS M.D.
Individual
Emergency Medicine3333 SILAS CREEK PKWY EMERGENCY DEPARTMENT
WINSTON-SALEM, NC 27103
(336) 765-9328
1366438194DR. DAWN ANNE CHUNG MD
Individual
Internal Medicine3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103
(336) 718-7080
1457351884SELECT SPECIALTY HOSPITAL - WINSTON-SALEM INC
Organization
Long Term Care Hospital3333 SILAS CREEK PKWY
WINSTON-SALEM, NC 27103
(336) 718-6501
1508842477 STUART B. TAYLOR II P.A.
Individual
Physician Assistant3333 SILAS CREEK PKWY EMERGENCY DEPT
WINSTON-SALEM, NC 27103
(336) 765-9328
1518942978DR. EDGAR L. MCPHERSON M.D.
Individual
Emergency Medicine3333 SILAS CREEK PKWY EMERGENCY DEPARTMENT
WINSTON-SALEM, NC 27103
(336) 765-9328
1518943844 DAVID A. SCUDDER P.A.
Individual
Physician Assistant3333 SILAS CREEK PKWY EMERGENCY DEPARTMENT
WINSTON-SALEM, NC 27103
(336) 765-9328
1548246416 KELLY R. TAYLOR P.A.
Individual
Physician Assistant3333 SILAS CREEK PKWY EMERGENCY DEPT
WINSTON-SALEM, NC 27103
(336) 765-9328
1548246861 GEORGE B. INGLE P.A.
Individual
Physician Assistant3333 SILAS CREEK PKWY ATTN: LISA BROWER
WINSTON-SALEM, NC 27103
(336) 765-9328
1699754689 TAMAS P. BATHORY MD
Individual
Internal Medicine3333 SILAS CREEK PKWY ATTN: INPATIENT PHYSICIANS SERVICES OF FORSYTH
WINSTON-SALEM, NC 27103
(336) 718-7080
1740265289DR. PAUL HORTON M.D.
Individual
Emergency Medicine3333 SILAS CREEK PKWY EMERGENCY DEPARTMENT
WINSTON-SALEM, NC 27103
(336) 765-9328
1811972268DR. TAD W. LOWDERMILK M.D.
Individual
Emergency Medicine3333 SILAS CREEK PKWY EMERGENCY DEPARTMENT
WINSTON-SALEM, NC 27103
(336) 765-9328
1831175157 JULIE W. FILE P.A.
Individual
Physician Assistant3333 SILAS CREEK PKWY EMERGENCY DEPARTMENT
WINSTON-SALEM, NC 27103
(336) 765-9328
1952386302DR. NICHOLAS IANNUZZI M.D.
Individual
Emergency Medicine3333 SILAS CREEK PKWY EMERGENCY DEPARTMENT
WINSTON-SALEM, NC 27103
(336) 765-9328

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.