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Organization
NORTHSIDE URGENT CARE, INC.
Active
Organization
NORTHSIDE URGENT CARE, INC.
Active
Other names
Northside Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. INGRID Y PAYNE (CHIEF OPERATION OFFICER)
(910) 323-1481
Entity
Organization
Contact information
Practice address
5397 RAMSEY ST, FAYETTEVILLE, NC 28311
(910) 488-9011
(910) 488-9057
Mailing address
5397 RAMSEY ST, FAYETTEVILLE, NC 28311
(910) 488-9011
(910) 488-6042
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01011
BCBS GRP NUMBER
NC
05
—
8901011
—
NC
Enumeration date
05/18/2006
Last updated
07/15/2010
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