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CLUB HAVEN FAMILY PRACTICE PA
NPI 1922323948
Family Medicine in Winston Salem, NC

Active since April 01, 2010
2801 LYNDHURST AVE, WINSTON SALEM, NC 27103(336) 768-9575(336) 774-1737 Get Directions Write a Review

NPPES record last updated: April 30, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Club Haven Family Practice Pa NPPES

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

CLUB HAVEN FAMILY PRACTICE PA (NPI 1922323948) is a healthcare organization registered as a family medicine in Winston Salem, North Carolina and active in the NPI registry since April 2010. The organization lists Mary J Hatley, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1922323948
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCLUB HAVEN FAMILY PRACTICE PA
Location Address2801 LYNDHURST AVEWinston Salem, NC 27103-4109
Mailing Address2801 Lyndhurst AveWinston Salem, NC 27103-4109 · (336) 768-9575 · Fax (336) 774-1737
Phone(336) 768-9575
Fax(336) 774-1737
Organization SubpartNo
Authorized OfficialMary J HatleyPractice Manager · (336) 768-9575
Enumeration DateApril 1, 2010
Last NPPES UpdateApril 30, 2015
✔ NPI 1922323948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2801 LYNDHURST AVE, Winston Salem, NC 27103
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

CLUB HAVEN FAMILY PRACTICE
Specialist
2801 LYNDHURST AVE
WINSTON-SALEM, NC 27103
Forsyth County (336) 768-9575
WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER COMMUNITY PHYSICIANS
Family Medicine
2801 LYNDHURST AVE
WINSTON SALEM, NC 27103
Forsyth County (336) 768-9575

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 Club Haven Family Practice PA's NPI number?

The NPI number for Club Haven Family Practice PA is 1922323948. It was assigned to this organization in the NPPES registry on April 1, 2010.

Where is Club Haven Family Practice PA located?

Club Haven Family Practice PA is located at 2801 Lyndhurst Ave, Winston Salem, NC 27103. The listed phone number is (336) 768-9575.

What is Club Haven Family Practice PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Club Haven Family Practice PA was last updated on April 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.