FOUNDATION HEALTH SYSTEMS, CORP (NPI# 1104877356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104877356 |
| Entity Type | Organization |
| Organization Name | FOUNDATION HEALTH SYSTEMS, CORP |
| Other Organization Name | THE BREAST CLINIC |
| Practice Address |
2025 Frontis Plaza Blvd Ste 300 Winston-salem NC 27103-5663 |
| Mailing Address |
2085 Frontis Plaza Blvd Winston-salem NC 27103-5614 |
| Practice Telephone | 3367184700 |
| Mailing Telephone | 3362777226 |
| Mailing Fax Number | 3362779795 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2010-10-26 |
| Authorized Official Name | FRED M. HARGETT (EVP/CFO) |
| Authorized Official Telephone | 7043845184 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 890183E | 05 |
| Other Name | Type Code |
|---|---|
| The Breast Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801848841 | Foundation Health Systems, Corp | Nursing Facility/Intermediate Care Facility | 5755 Shattalon Dr, Winston-salem, NC 27105-1332 | 2006-05-17 |
| 1154373637 | Foundation Health Systems, Corp | Nursing Facility/Intermediate Care Facility | 901 Bethesda Rd, Winston-salem, NC 27103-3015 | 2006-05-16 |
| Street Address |
2025 FRONTIS PLAZA BLVD STE 300 |
| City | WINSTON-SALEM |
| State | NC |
| Zip Code | 27103-5663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952345951 | William Charles Bray | Internal Medicine | 2025 Frontis Plaza Blvd, Suite 200, Winston-salem, NC 27103-5663 | 2006-06-16 |
| 1487698718 | Forsyth Radiological Associates | Radiology | 2025 Frontis Plaza Blvd, Suite 123, Winston-salem, NC 27103-5663 | 2006-06-16 |
| 1326082371 | Landon Earl Weeks | Internal Medicine | 2025 Frontis Plaza Blvd, Winston-salem, NC 27103-5663 | 2006-06-16 |
| 1053355008 | Victor Wilson Sears | Internal Medicine | 2025 Frontis Plaza Blvd, Suite 200, Winston-salem, NC 27103-5663 | 2006-06-16 |
| 1407890080 | Gregory Allen Barton | Physician Assistant | 2025 Frontis Plaza Blvd, Suite 200, Winston-salem, NC 27103-5663 | 2006-06-15 |
| 1508800038 | Gary Darneville Poleynard | Internal Medicine | 2025 Frontis Plaza Blvd, Suite 200, Winston-salem, NC 27103-5663 | 2006-06-15 |
| 1801837745 | Digestive Health Specialists, Pa | Internal Medicine | 2025 Frontis Plaza Blvd, Suite 200, Winston-salem, NC 27103-5663 | 2006-06-10 |
| 1417998279 | Charles Randolph Mcmurchy | Internal Medicine | 2025 Frontis Plaza Blvd, Suite 200, Winston-salem, NC 27103-5663 | 2006-06-10 |
| 1679531560 | Forsyth Memorial Hospital Inc | Psychiatry & Neurology | 2025 Frontis Plaza Blvd, Ste 120, Winston-salem, NC 27103-5663 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 261QR0206X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mammography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578918116 | Wellcareamerica LLC | Clinic/Center | 800 Park Offices Dr, Suite 3303, Durham, NC 27709 | 2016-05-02 |
| 1861829681 | Southeastern Regional Physician Services | Clinic/Center | 105 W 27th St, Lumberton, NC 28358-3014 | 2013-10-11 |
| 1457302341 | Presbyterian Breast Center, LLC | Clinic/Center | 2900 Randolph Rd, Charlotte, NC 28211-1021 | 2006-05-15 |
| 1275584179 | Presbyterian Breast Center LLC | Clinic/Center | 14215 Ballantyne Corporate Place, Ste 140, Charlotte, NC 28277-3146 | 2006-05-15 |
| 1013269653 | Hoke Imaging | Clinic/Center | 300 Medical Pavilion Drive, Raeford, NC 28376 | 2012-10-05 |
| 1043352594 | Mecklenburg County | Clinic/Center | 249 Billingsley Rd, Charlotte, NC 28211-1003 | 2007-02-13 |
| 1033160973 | Presbyterian Breast Center, LLC | Clinic/Center | 16525 Holly Crest Ln, Ste 130, Huntersville, NC 28078-4909 | 2006-05-15 |
| 1558312413 | Presbyterian Breast Center, LLC | Clinic/Center | 8401 Medical Plaza Dr, Charlotte, NC 28262-8797 | 2006-05-15 |
| City | WINSTON-SALEM |
| Zip Code | 27103 |
Please comment or provide details below to improve the information on FOUNDATION HEALTH SYSTEMS, CORP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.