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STEPHANIE LINVILLE HODGES PLLC NPI 1306204185


NPI Information

NPI: 1306204185
Provider Name: STEPHANIE LINVILLE HODGES PLLC

Doing Business As: QWIKMED CLINIC

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 34D2108452

Address:
204 WESTWOOD SHOPPING CTR
FAYETTEVILLE, NC
ZIP 28314
Phone: (910) 676-7570
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STEPHANIE LINVILLE HODGES PLLC is an urgent care clinic center in Fayetteville, NC. STEPHANIE LINVILLE HODGES PLLC NPI is 1306204185. The provider is registered as an organization entity type.
The provider Is Doing Business As Qwikmed Clinic.

The provider's business location address is:

204 WESTWOOD SHOPPING CTR
FAYETTEVILLE, NC
ZIP 28314-528
Phone: (910) 676-7570

The provider's authorized official is Stephanie Hodges .
The authorized official title is Owner and has the following contact phone number (910) 584-0358.

The CLIA number assigned to this NPI record is 34D2108452 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/8/2016 and was last updated on 8/25/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center5006610NORTH CAROLINANo
2261QU0200XClinic/CenterUrgent Care5006610NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11306204185MEDICAIDNORTH CAROLINA
2F588MEDICARE PINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.