OrganizationForsyth Memorial Hospital, Inc(<Unavail>)Internal MedicineAllopathic & Osteopathic PhysiciansPractice Address1381 Westgate Center Dr, Dba Piedmont Medical Specialist - Pcp, Winston Salem, NC 27103-2934(336) 718-0480(336) 277-2435PECOS EnrollmentBased on the most recent information from CMS, provider Forsyth Memorial Hospital, Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1144400698Provider TypeOrganizationFull NameForsyth Memorial Hospital, IncOther Name<Unavail>SubpartYesEnumeration Date11/13/2007Last Updated8/14/2008Contact InformationPractice LocationPractice Address1381 Westgate Center Dr, Dba Piedmont Medical Specialist - Pcp, Winston Salem, NC 27103-2934Phone(336) 718-0480Fax(336) 718-0484Mailing LocationMailing Address2000 Frontis Plaza Blvd Ste 102, Winston Salem, NC 27103-5616Phone(336) 277-2435Fax(336) 277-9275Authorized OfficialNameGrier, Michele (Vp Operations)Phone(336) 718-0480Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode207RI0200XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID0167YDescriptionOtherIssuerBCBS PIN - PCPNorth CarolinaIDCA1315DescriptionOtherIssuerRAILROAD MEDICARENorth Carolina