MEDICARE: CUMBERLAND COUNTY HOSPITAL SYSTEM INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336131010
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CUMBERLAND COUNTY HOSPITAL SYSTEM INC

Provider Business Mailing Address
First Line	:	PO BOX 40908
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28309-0908
Country	:	US
Telephone Number	:	910-609-6448
Fax Number	:	910-609-7040

Provider Business Practice Location Address
First Line	:	5523 WALDOS BEACH RD
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28306-5505
Country	:	US
Telephone Number	:	910-615-3120
Fax Number	:	910-615-9750

Authorized Official
Title or Position	:	VP MANAGED CARE & CORPORATE REVENUE
Name	:	JOSEPH B FISER
Credential	:
Telephone Number	:	910-615-5572

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	12/26/2023

Similar Medicare Providers

1235466251 — MR. DEREK OTENG BOATENG RPH
Practice Location Address:

5515 WALDOS BEACH RD
FAYETTEVILLE, NC
28306-5505

Practice Phone: 910-491-1090
Practice Fax:

1710488333 — BRIGHTSTAR HEALTH CORP
Practice Location Address:

5515 WALDOS BEACH RD
FAYETTEVILLE, NC
28306-5505

Practice Phone: 910-491-1090
Practice Fax: 910-425-5050

1114483559 — BRIGHTSTAR HEALTH CORP
Practice Location Address:

5515 WALDOS BEACH RD
FAYETTEVILLE, NC
28306-5505

Practice Phone: 910-491-1090
Practice Fax:

1295484665 — ALLIA ASHLEY VAEZ
Practice Location Address:

5523 WALDOS BEACH RD
FAYETTEVILLE, NC
28306-5505

Practice Phone: 910-615-3120
Practice Fax:

1114711090 — CAPE FEAR VALLEY HEALTH MEDICAL GROUP LLC
Practice Location Address:

5523 WALDOS BEACH RD
FAYETTEVILLE, NC
28306-5505

Practice Phone: 910-615-3120
Practice Fax: 910-615-9750

1700816451 — MISS TERESA TAYLOR AMMONS MS,CCC-SLP
Practice Location Address:

2932 BREEZEWOOD AVE , SUITE 203
FAYETTEVILLE, NC
28303-5505

Practice Phone: 910-423-7234
Practice Fax: 910-423-8213

Directions to “CUMBERLAND COUNTY HOSPITAL SYSTEM INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.