STEDMAN - WADE HEALTH SERVICES INC NPI 1609186790

NPI Information

NPI: 1609186790
Provider Name: STEDMAN - WADE HEALTH SERVICES, INC

Doing Business As: WADE FAMILY MEDICAL CENTER DOWNTOWN

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2409 MURCHISON RD STE B
FAYETTEVILLE, NC
ZIP 28301
Phone: (910) 483-6696
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STEDMAN - WADE HEALTH SERVICES, INC is a primary care clinic center in Fayetteville, NC. STEDMAN - WADE HEALTH SERVICES, INC NPI is 1609186790. The provider is registered as an organization entity type.
The provider Is Doing Business As Wade Family Medical Center Downtown.

The provider's business location address is:

2409 MURCHISON RD STE B
FAYETTEVILLE, NC
ZIP 28301-519
Phone: (910) 483-6696

The provider's authorized official is Margaret Covington .
The authorized official title is Ceo and has the following contact phone number (910) 483-6696.

The CLIA number assigned to this NPI record is 34D2212400 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/7/2010 and was last updated on 10/7/2010.

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			Yes

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

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