NPIMap

Organization Active NPI

Harnett Health System, Inc.

Doing business as Cape Fear Valley Betsy Johnson Hospital and Cape Fear Valley Central Harnett Hospital

  • General Acute Care Hospital
  • Dunn, NC
National Provider Identifier
1922144757
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H0224 Issued in NC
Legal business name
HARNETT HEALTH SYSTEM, INC.
Doing business as
Cape Fear Valley Betsy Johnson Hospital and Cape Fear Valley Central Harnett Hospital
Practice address
800 Tilghman Dr
Dunn, NC 28334-5510
Phone
(910) 892-1000
Fax
(910) 891-6032
NPI assigned
Jan 29, 2007
Last updated
Jan 13, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
HARNETT HEALTH SYSTEM INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Authorized official

Name
Joseph Fiser
Title
VP Corp Rev Cycle/Managed Care
Phone
(910) 615-5572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H0224 NC Primary

Addresses

Primary practice location

800 Tilghman Dr
Dunn, NC 28334-5510

Mailing address

PO Box 1706
Dunn, NC 28335-1706
Phone (910) 892-1000

Other practice location 1

215 Brightwater Dr
Lillington, NC 27546-5156
Phone (910) 892-1000

Other identifiers 2

IdentifierTypeStateIssuer
3400071MedicaidNC
00049OtherNCBLUE CROSS BLUE SHIELD

Other names 1

  • Cape Fear Valley Betsy Johnson Hospital and Cape Fear Valley Central Harnett Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120320000819 NC Part A Provider - Hospital 6204748544 Practice locations: Dunn, NC; Lillington, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922144757. Details of each certification follow.

Hospital certification: CCN 340071

Legal name
HARNETT HEALTH SYSTEM INC
Doing business as
CAPE FEAR VALLEY BETSY JOHNSON HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 30, 2001
Beds
108
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
800 Tilghman Dr
Dunn, NC 28334-5510
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Betsy Johnson Regional HospitalCCN 340071 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0018593Cape Fear Valley Betsy Johnson Hospital800 Tilghman Drive, Dunn, NC 28334AccreditationFeb 8, 2027

National Provider Directory

National Provider Directory
Tax ID family
Harnett Health System Inc4 organizations share this tax ID, including this one
Part of
Harnett Health System Inc

Other organizations with this tax ID 3

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

803 Tilghman Dr
Ste 300
Dunn, NC 28334
Phone (910) 230-7858

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Cumberland County Hospital System Inc Organization, Fayetteville, NC Corporation, Medical provider/supplier, Non-profit 5% Or Greater Direct Ownership Interest Aug 31, 2021 100%
James Lewis Individual Corporate DirectorTrustee Apr 1, 2021
Walter Massey Individual Corporate DirectorTrustee Apr 1, 2021
Neil Emory Individual Corporate DirectorTrustee Apr 1, 2021
Teddy Byrd Individual Corporate DirectorTrustee Apr 1, 2021
Michael Nagowski Individual Corporate DirectorBoard Member Aug 31, 2021
OtherCeo, Cumberland County Hospital Sys Aug 31, 2021
Cory Hess Individual Corporate OfficerPresident Harnett Health and CFV VP Aug 15, 2018
Bret Johnson Individual Corporate Officer Aug 31, 2021
Joseph Fiser Individual W-2 Managing EmployeeVP Corporate Rev Cycle/Managed Care Aug 31, 2021
Milford Townsend Quinn Individual Corporate DirectorTrustee Apr 1, 2022
Eric Kent Truesdale Individual Corporate DirectorTrustee Apr 1, 2021
Terrill F Brown Individual Corporate DirectorTrustee Apr 1, 2021

Owners & managing parties with NPI records 11

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 14

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 14

Practitioners & affiliated clinicians

Affiliated clinicians 292

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 292

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1922144757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1706",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283351706",
            "telephone_number": "910-892-1000",
            "fax_number": "910-891-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 TILGHMAN DR",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283345510",
            "telephone_number": "910-892-1000",
            "fax_number": "910-891-6032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Brightwater Dr",
            "address_purpose": "LOCATION",
            "city": "Lillington",
            "state": "NC",
            "postal_code": "275465156",
            "country_code": "US",
            "telephone_number": "910-892-1000",
            "fax_number": "910-891-6032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HARNETT HEALTH SYSTEM, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARNETT HEALTH SYSTEM INC",
        "enumeration_date": "2007-01-29",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "FISER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "VP CORP REV CYCLE/MANAGED CARE",
        "authorized_official_telephone_number": "910-615-5572"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NC",
            "license": "H0224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3400071",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00049",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cape Fear Valley Betsy Johnson Hospital and Cape Fear Valley Central Harnett Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dunn, NC

Sources for this page

Verify at the official NPI Registry.