Organization
CUMBERLAND COUNTY HOSPITAL SYSTEM, INC.
Active
Other names
Cape Fear Valley Home HIV
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD PARKS (DIRECTOR OF REIMBURSEMENT)
(910) 609-6700
Entity
Organization
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 609-6440
(910) 609-5365
Mailing address
PO BOX 40908, FAYETTEVILLE, NC 28309-0908
(910) 609-6448
(910) 609-7040
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
H0213
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8700249
—
NC
Enumeration date
04/12/2007
Last updated
08/22/2020
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