WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER (Credential# 1383237) is licensed (Public Charity-exempt From Financial Requirements) with Connecticut Department of Consumer Protection. The license effective date is October 13, 2016. The license status is ACTIVE.
WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CHR.0060145-EXEMPT. The credential type is public charity-exempt from financial requirements. The effective date is October 13, 2016. The business address is Medical Center Boulevard, Winston Salem, NC 27157-0001. The current status is active.
| Licensee Name | WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER |
| Business Name | WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER |
| Doing Business As | WAKE FOREST BAPTIST HEALTH, WAKE FOREST BAPTIST MEDICAL CENTER |
| Credential ID | 1383237 |
| Credential Number | CHR.0060145-EXEMPT |
| Credential Type | PUBLIC CHARITY-EXEMPT FROM FINANCIAL REQUIREMENTS |
| Credential SubCategory | EXEMPT |
| Business Address |
Medical Center Boulevard Winston Salem NC 27157-0001 |
| Business Type | CORPORATION |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-10-13 |
| Effective Date | 2016-10-13 |
| Refresh Date | 2017-05-02 |
| Street Address | MEDICAL CENTER BOULEVARD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27157-0001 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew Harry Wong | Medical Center Boulevard, Winston Salem, NC 27157-0001 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Peter Flueckiger | Wake Forest Baptist Medical Center, Winston Salem, NC 27157-0001 | Resident Physician | 2017-07-01 ~ 2019-06-30 |
| Wake Forest University Health Sciences | Medical Center Blvd, Winston Salem, NC 27157-0001 | Public Charity-exempt From Financial Requirements | 2011-04-25 ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kimberly A Isley | Medical Center Blvd., Winsten-salem, NC 27157 | Physical Therapist Assistant | ~ 2006-11-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| North American Liaison Bureau Inc · Education Congo | 2216 Elgin Rd, Winston Salem, NC 27103-4423 | Public Charity | 2020-02-04 ~ 2020-05-31 |
| Phillip Ellison | 1170 Chester Rd, Winston Salem, NC 27104-1310 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Amanda Dawn Shore | 381 Dover Drive, Winston Salem, NC 27104 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Meredith Spainhour Triplett | 305 Weavil Rd, Winston Salem, NC 27107-8977 | Registered Nurse | ~ |
| Restorative Medical | 2491 Armstrong Dr, Winston Salem, NC 27103-6813 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Greenleaf Medical Supply LLC | 1409 Plaza West Rd Ste# G, Winston Salem, NC 27103 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Cynthia Victoria Francisco | 111 Berwyn Ct, Winston Salem, NC 27107-2027 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Donna J O'meara · Lyons | 827 Westover Ave, Winston Salem, NC 27104 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Hannah Nations Knight | 313 Bent Oak Dr, Winston Salem, NC 27107-5005 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Brooke Sexton Trogdon | 3820 White Petals Ct, Winston Salem, NC 27107-6052 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
| Find all Licenses in WINSTON SALEM | |||
| City | WINSTON SALEM |
| Zip Code | 27157 |
| License Type | PUBLIC CHARITY-EXEMPT FROM FINANCIAL REQUIREMENTS |
| License Type + County | PUBLIC CHARITY-EXEMPT FROM FINANCIAL REQUIREMENTS + WINSTON SALEM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wake Forest University Health Sciences | Medical Center Blvd, Winston Salem, NC 27157-0001 | Public Charity-exempt From Financial Requirements | 2011-04-25 ~ |
| Wake Forest University | 1834 Wake Forest Rd, Winston Salem, NC 27109-6000 | Public Charity-exempt From Financial Requirements | 2017-03-24 ~ |
| California Baptist University | 8432 Magnolia Ave, Riverside, CA 92504-3206 | Public Charity-exempt From Financial Requirements | 2018-07-11 ~ |
| Peter Flueckiger | Wake Forest Baptist Medical Center, Winston Salem, NC 27157-0001 | Resident Physician | 2017-07-01 ~ 2019-06-30 |
| Vanderbilt University Medical Center | 1211 Medical Center Dr, Nashville, TN 37232-0004 | Public Charity-exempt From Financial Requirements | 2016-11-18 ~ |
| Loyola University Medical Center | 2160 S 1st Ave, Maywood, IL 60153-3328 | Public Charity-exempt From Financial Requirements | 2015-07-01 ~ |
| Des Moines University Osteopathic Medical Center | 3200 Grand Avenue, Des Moines, IA 50312 | Public Charity-exempt From Financial Requirements | ~ |
| University of Texas M D Anderson Cancer Center · Utmdacc; Md Anderson Cancer Center; Md Anderson; University of Texas Md Anderson Cancer Center Childrens Art Project; Univeristy | 7007 Bertner Ave, Houston, TX 77030-3907 | Public Charity-exempt From Financial Requirements | 2011-02-10 ~ |
| Bentley University | 175 Forest St, Waltham, MA 02452-4713 | Public Charity-exempt From Financial Requirements | 2020-06-23 ~ |
| Ave Maria University | 300 W Forest Ave, Ypsilanti, MI 48197-2451 | Public Charity-exempt From Financial Requirements | ~ |
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| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).