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THE SHALOM PROJECT, INC.
NPI 1558104505
Clinic/Center - Community Health in Winston-salem, NC

Active since June 17, 2024CLIA 34D2235570 · Waiver
3185 MAPLEWOOD AVE, WINSTON-SALEM, NC 27103(336) 721-0606(866) 838-2811 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About The Shalom Project, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE SHALOM PROJECT, INC. (NPI 1558104505), doing business as The Shalon Project Medical Clinic, is a healthcare organization registered as a community health in Winston-salem, North Carolina and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through September 9, 2027 and lists Jeffrey Foster, Programs Director, as its authorized official.

NPPES Registry Identity

NPI1558104505
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameTHE SHALOM PROJECT, INC.
Location Address3185 MAPLEWOOD AVEWinston-salem, NC 27103
Mailing Address639 S Green StWinston-salem, NC 27101 · (336) 721-0606 · Fax (866) 838-2811
Phone(336) 721-0606
Fax(866) 838-2811
Organization SubpartNo
Authorized OfficialJeffrey FosterPrograms Director · (336) 721-0606
Enumeration DateJune 17, 2024
✔ NPI 1558104505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
3185 MAPLEWOOD AVE, Winston-salem, NC 27103
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Other Names 1

Doing Business AsThe Shalon Project Medical Clinic

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2235570

The Shalom Project Medical Clinic · Winston-Salem, NC
Active · expires Sep 9, 2027
CLIA Number34D2235570
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 10, 2025
Certificate Expiration DateSeptember 9, 2027
Laboratory DirectorStephen G. Bissette
Laboratory Phone(336) 721-0606
Laboratory LocationThe Shalom Project Medical Clinic3185 Maplewood Ave, Winston-Salem, NC 27103
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARENET INC
Counselor (Professional)
3185 MAPLEWOOD AVE
WINSTON SALEM, NC 27103
Forsyth County (336) 716-0855
SAYWARD ROSE MONTOYA FNP-BC
Nurse Practitioner (Family)
3185 MAPLEWOOD AVE
WINSTON SALEM, NC 27103
Forsyth County (336) 721-0606
THE SHALOM PROJECT, INC
Pharmacy (Clinic Pharmacy)
3185 MAPLEWOOD AVE
WINSTON SALEM, NC 27103
Forsyth County (919) 451-0097
RAIDER RAM INC.
Non-emergency Medical Transport (VAN)
3185 MAPLEWOOD AVE
WINSTON SALEM, NC 27103
Forsyth County (336) 283-9576

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Shalom Project, Inc.'s NPI number?

The NPI number for The Shalom Project, Inc. is 1558104505. It was assigned to this organization in the NPPES registry on June 17, 2024. The provider is doing business as The Shalon Project Medical Clinic.

Where is The Shalom Project, Inc. located?

The Shalom Project, Inc. is located at 3185 Maplewood Ave, Winston-Salem, NC 27103. The listed phone number is (336) 721-0606.

What is The Shalom Project, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Does The Shalom Project, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2235570) is associated with this NPI, valid through September 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for The Shalom Project, Inc. was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.