NPIMap

Organization Active NPI

Cumberland County Hospital System Inc

Doing business as Cape Fear Valley Interventional Radiology

  • Vascular & Interventional Radiology Physician
  • Fayetteville, NC
National Provider Identifier
1053142265
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
CUMBERLAND COUNTY HOSPITAL SYSTEM INC
Doing business as
Cape Fear Valley Interventional Radiology
Practice address
101 Robeson St Ste 200
Fayetteville, NC 28301-5520
Phone
(910) 615-1860
Fax
(910) 615-9630
NPI assigned
Aug 9, 2024
Last updated
Aug 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joseph B Fiser
Title
VP Managed Care and Revenue Cycle
Phone
(910) 615-5572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X Primary

Addresses

Primary practice location

101 Robeson St Ste 200
Fayetteville, NC 28301-5520

Mailing address

PO Box 40908
Fayetteville, NC 28309-0908
Phone (910) 615-6949

Other names 1

  • Cape Fear Valley Interventional Radiology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250205000412 NC Part B Supplier - Clinic/Group Practice 1850204041 Receives reassigned benefits from 9 practitioners
Practice locations: Fayetteville, NC

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Ownership & related parties

All facility ownership & control disclosures 15

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Highsmith-Rainey Memorial HospitalFayetteville, NC, CCN 342014 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 7, 1966
Cape Fear Valley-Bladen County HospitalElizabethtown, NC, CCN 341315 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 1, 2008
Jun 1, 2008
Cape Fear Valley - Bladen County HospitalElizabethtown, NC, CCN 34Z315 Hospital Operational/Managerial Control Jun 1, 2008
Cape Fear Valley Betsy Johnson HospitalDunn, NC, CCN 340071 Hospital 5% Or Greater Direct Ownership Interest (100%) Aug 31, 2021
Cape Fear Valley Hoke HospitalRaeford, NC, CCN 340188 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jun 11, 2009
Dec 1, 2014
Southeastern Regional Rehabilitation CenterFayetteville, NC, CCN 34T028 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 3, 2012
Cape Fear Valley Home HealthFayetteville, NC, CCN 347127 Home health agency 5% Or Greater Direct Ownership Interest (33%) Oct 1, 2008
Cape Fear Valley Hospice and Palliative CareFayetteville, NC, CCN 341562 Hospice 5% Or Greater Direct Ownership Interest (33%) Oct 1, 2008
Bladen Healthcare LLCDublin, NC, CCN 343444 Rural health clinic Operational/Managerial Control (100%) Aug 20, 2021
CFV Bma ElizabethtownElizabethtown, NC, CCN 343445 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2008
CFV Bma Express CareElizabethtown, NC, CCN 343449 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2008
Cape Fear Valley - Bladen Medical AssociatesBladenboro, NC, CCN 343446 Rural health clinic 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jun 1, 2008
Jun 1, 2008
Cape Fear Valley Bladen Medical AssociatesClarkton, NC, CCN 343464 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Apr 1, 2017
Apr 1, 2017
Cape Fear Valley Bladen Medical AssociatesElizabethtown, NC, CCN 343469 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 9, 2018
Jul 9, 2018
CFV Primary Care-Vineland Family MedicineWhiteville, NC, CCN 343477 Rural health clinic Operational/Managerial Control Oct 1, 2021

Owned or controlled facilities with NPI records 15

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 15

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1053142265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40908",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283090908",
            "telephone_number": "910-615-6949",
            "fax_number": "910-615-9761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ROBESON ST STE 200",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015520",
            "telephone_number": "910-615-1860",
            "fax_number": "910-615-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND COUNTY HOSPITAL SYSTEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "FISER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "VP MANAGED CARE AND REVENUE CYCLE",
        "authorized_official_telephone_number": "910-615-5572"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cape Fear Valley Interventional Radiology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cape Fear Valley Interventional Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.