Provider Demographics
NPI:1013137199
Name:WAKEMED HEALTH & HOSPITALS
Entity Type:Organization
Organization Name:WAKEMED HEALTH & HOSPITALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP FOR QUALITY & PATIENT SAFETY
Authorized Official - Prefix:
Authorized Official - First Name:MEERA
Authorized Official - Middle Name:A
Authorized Official - Last Name:KELLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-350-7632
Mailing Address - Street 1:3000 NEW BERN AVE
Mailing Address - Street 2:OFFICE OF THE CHIEF MEDICAL OFFICER
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-1231
Mailing Address - Country:US
Mailing Address - Phone:919-350-7632
Mailing Address - Fax:919-350-7995
Practice Address - Street 1:3000 NEW BERN AVE
Practice Address - Street 2:OFFICE OF THE CHIEF MEDICAL OFFICER
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-1231
Practice Address - Country:US
Practice Address - Phone:919-350-7632
Practice Address - Fax:919-350-7995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-30
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9300177282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCBK3942225OtherDEA NUMBER
NCF75036Medicare UPIN