Southern Regional Area Health Education Center
LBN: Fayetteville Area Health Education Foundation Inc
Southern Regional Area Health Education Center is an health care organization with primary practice located at 1601 Owen Dr , Fayetteville NC 28304-3425. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology, Allopathic & Osteopathic Physicians / Pediatric Endocrinology, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Fayetteville Area Health Education Foundation Inc can be contacted via phone (910) 678-0100, or through Kapoor, Sushma Surrinder via phone (910) 678-7230.
Contact Information
Primary practice address
1601 Owen Dr
Fayetteville NC 28304-3425
Phone: (910) 678-0100
Fax: (910) 678-0115
Website:
Authorized official contact:
Name: Kapoor, Sushma Surrinder Doctor of Medicine (MD)
Phone: (910) 678-7230
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | ||
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | ||
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X |
Profile Details
| NPI number | 1811072812 |
|---|---|
| LBN Legal business name | Fayetteville Area Health Education Foundation Inc |
| DBA Doing business as | Southern Regional Area Health Education Center |
| Authorized official | Kapoor, Sushma Surrinder Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Oct 25th, 2019 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811072812 | NPPES |
| North Carolina | MEDICAID | 8903078 |
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