FAYETTEVILLE AREA HEALTH EDUCATION FOUNDATION INC NPI 1811072812

NPI Information

NPI: 1811072812
Provider Name: FAYETTEVILLE AREA HEALTH EDUCATION FOUNDATION INC

Doing Business As: SOUTHERN REGIONAL AREA HEALTH EDUCATION CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1601 OWEN DR
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 678-0100
Get Directions

FAYETTEVILLE AREA HEALTH EDUCATION FOUNDATION INC 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. FAYETTEVILLE AREA HEALTH EDUCATION FOUNDATION INC NPI is 1811072812. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Southern Regional Area Health Education Center.

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 Surrinder Kapoor .
The authorized official title is President & Ceo and has the following contact phone number (910) 678-7230.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 10/25/2019.

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	Primary
1	2080P0202X	Pediatrics	Pediatric Cardiology	No
2	103T00000X	Psychologist		No
3	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	No
4	207RI0200X	Internal Medicine	Infectious Disease	No
5	208000000X	Pediatrics		No
6	2080P0205X	Pediatrics	Pediatric Endocrinology	No
7	2084P0800X	Psychiatry & Neurology	Psychiatry	No
8	207Q00000X	Family Medicine		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	8903078	MEDICAID	NORTH 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

NPI Synchronization or Removal

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