OrganizationForsyth Memorial Hospital Inc(<Unavail>)Internal MedicineAllopathic & Osteopathic PhysiciansPractice Address1381 Westgate Center Dr, Winston-Salem, NC 27103-2934(336) 718-0100(704) 384-7606PECOS 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 ID1578511606Provider TypeOrganizationFull NameForsyth Memorial Hospital IncOther Name<Unavail>SubpartNoEnumeration Date5/4/2006Last Updated7/10/2023Contact InformationPractice LocationPractice Address1381 Westgate Center Dr, Winston-Salem, NC 27103-2934Phone(336) 718-0100Fax(336) 718-0120Mailing LocationMailing AddressPO Box 751803, Charlotte, NC 28275-1803Phone(704) 384-7606Fax(336) 277-7722Authorized OfficialNameWalton, Leea Jeanine (Rcs Manager)Phone(704) 316-6087Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID01531DescriptionOtherIssuerBCBD ID#North CarolinaIDCA1315DescriptionOtherIssuerRAILROAD MCR ID#North CarolinaID2330DescriptionOtherIssuerPARTNERS ID#North CarolinaID5425016DescriptionOtherIssuerAETNA ID#North CarolinaID6901531DescriptionMedicaidIssuerUnlistedNorth Carolina