NEW HOPE FAMILY PRACTICE PC NPI 1568642445

NPI Information

NPI: 1568642445
Provider Name: NEW HOPE FAMILY PRACTICE, PC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 34D1077303

Address:
530 SANDHURST DR
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 867-7777
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NEW HOPE FAMILY PRACTICE, PC is a primary care clinic center in Fayetteville, NC. NEW HOPE FAMILY PRACTICE, PC NPI is 1568642445. The provider is registered as an organization entity type.

The provider's business location address is:

530 SANDHURST DR
FAYETTEVILLE, NC
ZIP 28304-426
Phone: (910) 867-7777
Fax: (910) 868-7778

The provider's authorized official is Connie Lynn Brooks-fernandez .
The authorized official title is Officer/president and has the following contact phone number (910) 867-7777.

The CLIA number assigned to this NPI record is 34D1077303 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/8/2007 and was last updated on 12/1/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	9701262	NORTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2279700B	MEDICARE PIN	NORTH CAROLINA
2	HO6141	MEDICARE UPIN	NORTH CAROLINA
3	5906416	MEDICAID	NORTH CAROLINA
4	1232U	OTHER	NORTH CAROLINA	BCBS

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

NPI Synchronization or Removal

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