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
Practitioners 6
-
Kamalesh Kumar Bala, M.D.
-
Temple Britt Byrd, FNP
-
Rebecca Davis, CRNA
-
Mayank Singhal, M.D.
-
Suzanna Kearns, PA-C
-
Annie Nicole Sanders, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Locations
1248 Fort Bragg Rd
Ste 101
Fayetteville, NC 28305
Phone (910) 323-0334
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
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
Other providers in Clinton, NC
- Margaret Crampton
- Anna Cui
- Cumberland County Health System Inc
- Cumberland County Hospital System Inc
- Cumberland County Hospital System Inc
- Cumberland County Hospital System Inc
- Henry Nathaniel Curry
- Ashley Maureen Daniels
- Phuong Thi Ngoc Daniels
- Gracie Caroline Danks
All providers in Clinton, NC · Internal Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.