NPI Lookup

NPI Lookup from the NPI Registry — National Provider Identifier Database

FAYETTEVILLE URGENT CARE & FAMILY MEDICINE, LLC

Urgent Care


Contact Information

FAYETTEVILLE URGENT CARE & FAMILY MEDICINE, LLC
4534 RAEFORD RD
FAYETTEVILLE, NC28304-3230
 Phone: 910-425-5999
 Fax: 910-221-1062
 Website:
 

Taxonomy / Specialty

Taxonomy Code

Urgent Care

261QU0200X
 

Family Medicine

207Q00000X
Indicates primary specialty

NPI Profile for FAYETTEVILLE URGENT CARE & FAMILY MEDICINE, LLC

NPI Number 1891060398
LBN Legal business name FAYETTEVILLE URGENT CARE & FAMILY MEDICINE, LLC
Authorized official GODFREY FONDINKA - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/16/2012
Last updated 08/14/2012 - About 2 years ago
Identifiers
NC License # 200301461
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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