Healthcare Provider Details

I. General information

NPI: 1316346976
Provider Name (Legal Business Name): CUMBERLAND COUNTY HOSPITAL SYSTEM INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2014
Last Update Date: 12/26/2023
Certification Date: 12/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1565 PURDUE DR STE 301
FAYETTEVILLE NC
28303-5537
US

IV. Provider business mailing address

1638 OWEN DR ATTN. MANAGED CARE PLANNING
FAYETTEVILLE NC
28304-3424
US

V. Phone/Fax

Practice location:
  • Phone: 910-615-3060
  • Fax: 910-615-9794
Mailing address:
  • Phone: 910-615-6949
  • Fax: 910-615-9761

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberH0213
License Number StateNC

VIII. Authorized Official

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