Cumberland County Hospital System Inc

Organization Active NPI Internal Medicine Physician · Clinton, NC

NPI 1699206649 · NPPES record last updated Dec 26, 2023

Key facts

NPI
1699206649
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
CUMBERLAND COUNTY HOSPITAL SYSTEM INC
Practice address
606 Beaman St
Clinton, NC 28328-2604
Phone
(910) 596-0061
Fax
(910) 596-0062
NPI assigned
Mar 22, 2017
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 49

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

View all 49

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031112000693 NC Part B Supplier - Clinic/Group Practice 1850204041 Receives reassigned benefits from 1,012 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: Fayetteville, NC; Lillington, NC; Lumberton, NC; Raeford, NC; Red Springs, NC; Spring Lake, NC; Stedman, NC; Angier, NC…

National Provider Directory

Tax ID family
Cumberland County EMS (50 organizations share this tax ID)

Locations

1248 Fort Bragg Rd
Ste 101
Fayetteville, NC 28305
Phone (910) 323-0334

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X Yes

Addresses

Primary practice location

606 Beaman St
Clinton, NC 28328-2604

Mailing address

PO Box 40908
Attn: Managed Care Planning
Fayetteville, NC 28309-0908
Phone (910) 615-6949

Other names

  • Cape Fear Valley Primary Care-Clinton Doing business as

Other providers in Clinton, NC

All providers in Clinton, NC · Internal Medicine Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.