FAYETTEVILLE AREA HEALTH EDUCATION FOUNDATION INC. NPI 1639625106

NPI Information

NPI: 1639625106
Provider Name: FAYETTEVILLE AREA HEALTH EDUCATION FOUNDATION, INC.

Doing Business As: SOUTHERN REGIONAL AHEC

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

Specialization: Primary Care

Address:
1601 OWEN DR
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 678-0100
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FAYETTEVILLE AREA HEALTH EDUCATION FOUNDATION, INC. is a primary care clinic center in Fayetteville, NC. FAYETTEVILLE AREA HEALTH EDUCATION FOUNDATION, INC. NPI is 1639625106. The provider is registered as an organization entity type.
The provider Is Doing Business As Southern Regional Ahec.

The provider's business location address is:

1601 OWEN DR
FAYETTEVILLE, NC
ZIP 28304-425
Phone: (910) 678-0100
Fax: (910) 678-0115

The provider's authorized official is Sushma Kapoor .
The authorized official title is Vp Ceas and has the following contact phone number (910) 678-0100.

The enumeration date for this NPI number is 8/25/2016 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	L004639	NORTH CAROLINA	Yes

What is NPI?

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

NPI Synchronization or Removal

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