Active NPI
County of Cumberland
- Durable Medical Equipment & Medical Supplies
- Fayetteville, NC
National Provider Identifier
1700917390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- COUNTY OF CUMBERLAND
- Practice address
- 711 Executive PL
Cap Program
Fayetteville, NC 28305-5193 - Phone
- (910) 323-0601
- Fax
- (910) 323-0096
- NPI assigned
- Mar 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Densie D Lucas
- Title
- Assistant Area Director
- Phone
- (910) 323-0601
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
711 Executive PL
Cap Program
Fayetteville, NC 28305-5193
Mailing address
PO Box 3069
Fayetteville, NC 28302-3069
Phone (910) 323-0601
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3408271 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Cumberland County Department of Social Services
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Fayetteville, NC
- NPI 1366573909
-
- Addiction (Substance Use Disorder) Counselor
- Fayetteville, NC
- NPI 1659401453
-
- Community/Retail Pharmacy
- Fayetteville, NC
- NPI 1134480718
-
- Case Management Agency
- Fayetteville, NC
- NPI 1710008404
-
- Dental Clinic/Center
- Fayetteville, NC
- NPI 1780074385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200441600000",
"number": "1700917390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3069",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283023069",
"telephone_number": "910-323-0601",
"fax_number": "910-323-0096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 EXECUTIVE PL",
"address_2": "CAP PROGRAM",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283055193",
"telephone_number": "910-323-0601",
"fax_number": "910-323-0096"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF CUMBERLAND",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-08",
"last_updated": "2008-01-16",
"status": "A",
"authorized_official_last_name": "LUCAS",
"authorized_official_first_name": "DENSIE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "ASSISTANT AREA DIRECTOR",
"authorized_official_telephone_number": "910-323-0601",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3408271",
"state": "NC"
}
],
"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 Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.