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CAPE FEAR VALLEY HEALTH SYSTEM SPECIALTY GROUP LLC NPI 1750616108


NPI Information

NPI: 1750616108
Provider Name: CAPE FEAR VALLEY HEALTH SYSTEM SPECIALTY GROUP, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1638 OWEN DR
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 615-6994
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CAPE FEAR VALLEY HEALTH SYSTEM SPECIALTY GROUP, LLC is a family medicine in Fayetteville, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CAPE FEAR VALLEY HEALTH SYSTEM SPECIALTY GROUP, LLC NPI is 1750616108. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1638 OWEN DR
FAYETTEVILLE, NC
ZIP 28304-424
Phone: (910) 615-6994
Fax: (910) 615-4345

The provider's authorized official is Michael Nagowski .
The authorized official title is Ceo and has the following contact phone number (910) 615-6700.

The enumeration date for this NPI number is 10/2/2009 and was last updated on 10/2/2009.


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
1207Q00000XFamily MedicineH0213NORTH 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
1PENDINGMEDICAIDNORTH CAROLINA
2PENDINGMEDICARE 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: 11/14/2023

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.