Organization Active NPI

Murray Fork Home Care 3

  • Health Maintenance Organization
  • Fayetteville, NC
National Provider Identifier
1619206646
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
HC3943 Issued in NC
Legal business name
MURRAY FORK HOME CARE 3
Practice address
1555 Cain Rd Ste 201
Fayetteville, NC 28303-3076
Phone
(910) 480-4181
Fax
(910) 480-4182
NPI assigned
Dec 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

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

Authorized official

Name
Mrs. Debra Biddle
Title
Owner
Phone
(910) 480-4181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X HC3943 NC Primary

Addresses

Primary practice location

1555 Cain Rd Ste 201
Fayetteville, NC 28303-3076

Mailing address

PO Box 35674
Fayetteville, NC 28303-0674
Phone (910) 480-4181

National Provider Directory

National Provider Directory
Tax ID family
Debra Biddle6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1619206646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35674",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283030674",
            "telephone_number": "910-480-4181",
            "fax_number": "910-480-4182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 CAIN RD STE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283033076",
            "telephone_number": "910-480-4181",
            "fax_number": "910-480-4182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURRAY FORK HOME CARE 3",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-22",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "BIDDLE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-480-4181",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NC",
            "license": "HC3943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 22, 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.