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Organization

CUMBERLAND COUNTY DEPT OF PUBLIC HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COLETTE GELIN (BILLING MANAGER)
91043337199
Entity
Organization

Contact information

Practice address
1235 RAMSEY ST, FAYETTEVILLE, NC 28301-4401
(910) 433-3719
(910) 321-7103
Mailing address
1235 RAMSEY ST, FAYETTEVILLE, NC 28301-4401
(910) 433-3719
(910) 321-7103

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7896
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004
TRICARE
NC
01
0705C
BLUE CROSS BLUE SHIELD
NC
05
3403056
NC
05
3404429
NC
Enumeration date
02/03/2015
Last updated
02/03/2015
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