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FAYETTEVILLEVAMC NPI 1720116684


NPI Information

NPI: 1720116684
Provider Name: FAYETTEVILLEVAMC
Classification: Long Term Care Hospital - 282E00000X
Entity Type: Organization
Address:
2300 RAMSEY ST
FAYETTEVILLE, NC
ZIP 28301
Phone: (910) 488-2120
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FAYETTEVILLEVAMC is a long term care hospital in Fayetteville, NC. The provider is long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. FAYETTEVILLEVAMC NPI is 1720116684. The provider is registered as an organization entity type.

The provider's business location address is:

2300 RAMSEY ST
FAYETTEVILLE, NC
ZIP 28301-856
Phone: (910) 488-2120

The provider's authorized official is Subarro Pemmaraju .
The authorized official title is Chief Of Ltc and has the following contact phone number (910) 488-2120.

The enumeration date for this NPI number is 3/1/2007 and was last updated on 8/22/2020.


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
1282E00000XLong Term Care HospitalYes

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.