Organization
WELL POINT URGENT CARE AND FAMILY CLINIC INC
Active
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
601 RAMSEY ST, FAYETTEVILLE, NC 28301-4913
(910) 323-3322
(910) 323-3944
Mailing address
601 RAMSEY ST, FAYETTEVILLE, NC 28301-4913
(910) 323-3322
(910) 323-3944
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901814
—
NC
Enumeration date
05/18/2006
Last updated
03/11/2008
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