Fayetteville Family Medical Care, Pa

LBN: Fayetteville Family Medical Care, Pa
Fayetteville Family Medical Care, Pa is an health care organization with primary practice located at 1307 Avon St , Fayetteville NC 28304-4423. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Fayetteville Family Medical Care, Pa can be contacted via phone (910) 323-1718, or through Kugler, Alice M via phone (910) 323-1718.

Contact Information

Primary practice address
1307 Avon St Fayetteville NC 28304-4423
Phone: (910) 323-1718
Fax: (910) 323-5701
Website:
Map and Directions
Authorized official contact:
Name: Kugler, Alice M
Phone: (910) 323-1718

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1073518536
LBN Legal business name Fayetteville Family Medical Care, Pa
DBA Doing business as
Authorized official Kugler, Alice M
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2005
Last updated Aug 19th, 2015 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073518536 NPPES
North Carolina MEDICAID 8901559
North Carolina Other 3442124
North Carolina Other 01559

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