OrganizationForsyth Memorial Hospital, Inc(<Unavail>)Internal MedicineAllopathic & Osteopathic PhysiciansPractice Address3333 Silas Creek Pkwy, Winston-Salem, NC 27103-3013(336) 718-7080PECOS 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 ID1609824788Provider TypeOrganizationFull NameForsyth Memorial Hospital, IncOther Name<Unavail>SubpartYesEnumeration Date5/4/2006Last Updated9/4/2009Contact InformationPractice LocationPractice Address3333 Silas Creek Pkwy, Winston-Salem, NC 27103-3013Phone(336) 718-7080Fax(336) 718-9622Mailing LocationMailing Address2000 Frontis Plaza Blvd Ste 102, Attn: Forsyth Medical Group, Winston Salem, NC 27103-5616Phone(336) 718-7080Fax(336) 718-9622Authorized OfficialNameGrier, Michele (Vp Operations)Phone(336) 718-7080Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerIDCA1315DescriptionOtherIssuerRAILROAD MEDICARENorth CarolinaID3340DescriptionOtherIssuerPARTNERSNorth CarolinaID01517DescriptionOtherIssuerBCBS-NCNorth CarolinaID5901517DescriptionMedicaidIssuerUnlistedNorth Carolina