NPIMap

Organization Active NPI

Cumberland County Hospital Systems, Inc

Doing business as Express Care of Health Pavilion North

  • Family Medicine Physician
  • Fayetteville, NC
National Provider Identifier
1497758023
Registry record updated Mar 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H0123 Issued in NC
Legal business name
CUMBERLAND COUNTY HOSPITAL SYSTEMS, INC
Doing business as
Express Care of Health Pavilion North
Practice address
6387 Ramsey St
Suite 100
Fayetteville, NC 28311-9420
Phone
(910) 609-3879
Fax
(910) 321-6219
NPI assigned
May 27, 2005
Last updated
Mar 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2009

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

Authorized official

Name
Mr. Michael Nagowski
Title
Ceo
Phone
(910) 609-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H0123 NC Primary

Addresses

Primary practice location

6387 Ramsey St
Suite 100
Fayetteville, NC 28311-9420

Mailing address

PO Box 40908
Fayetteville, NC 28309-0908
Phone (910) 609-6448

Other identifiers 1

IdentifierTypeStateIssuer
890169PMedicaidNC

Other names 1

  • Express Care of Health Pavilion North Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cape Fear Valley Radiology50 organizations share this tax ID, including this one

Other organizations with this tax ID 49

Organizations that report the same tax identification number in the National Provider Directory.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1497758023",
    "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": "910-609-6448",
            "fax_number": "910-609-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6387 RAMSEY ST",
            "address_2": "SUITE 100",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283119420",
            "telephone_number": "910-609-3879",
            "fax_number": "910-321-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND COUNTY HOSPITAL SYSTEMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "NAGOWSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-609-6700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "H0123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890169P",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Care of Health Pavilion North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.