Healthcare Provider Details

I. General information

NPI: 1982127023
Provider Name (Legal Business Name): CUMBERLAND COUNTY HEALTH SYSTEM INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2017
Last Update Date: 07/20/2017
Certification Date:
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 MANAGED CARE PLANNING
FAYETTEVILLE NC
28309-0908
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL NAGWOSKI
Title or Position: CEO
Credential:
Phone: 910-615-4000