Healthcare Provider Details

I. General information

NPI: 1215463450
Provider Name (Legal Business Name): CUMBERLAND COUNTY HOSPITAL SYSTEM INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2017
Last Update Date: 12/19/2023
Certification Date: 12/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 WALTER REED RD
FAYETTEVILLE NC
28304-4437
US

IV. Provider business mailing address

PO BOX 40908 ATTN: MANAGED CARE PLANNING
FAYETTEVILLE NC
28309-0908
US

V. Phone/Fax

Practice location:
  • Phone: 910-323-4733
  • Fax: 910-323-2097
Mailing address:
  • Phone: 910-615-6949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH B FISER
Title or Position: VP MANAGED CARE/REVENUE CYCLE
Credential:
Phone: 910-615-5572