Fayetteville Family Extended Care
LBN: Fayetteville Family Extended Care
Fayetteville Family Extended Care is an health care organization with primary practice located at 1307 Avon St , Fayetteville NC 28304-4423. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Fayetteville Family Extended Care can be contacted via phone (910) 323-1718, or through Kugler, Alice M via phone (910) 323-1718.
Contact Information
Primary practice address
1307 Avon St
Fayetteville NC 28304-4423
Phone: (910) 323-1718
Fax: (910) 323-5701
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | North Carolina |
Profile Details
NPI number | 1710977681 |
---|---|
LBN Legal business name | Fayetteville Family Extended Care |
DBA Doing business as | |
Authorized official | Kugler, Alice M |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Oct 24th, 2005 |
Last updated | Apr 18th, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1710977681 | NPPES |
North Carolina | MEDICAID | 89015CY | |
North Carolina | Other | 015CY |
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