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	208600000X	Surgery Physician

General Provider Information

NPI Number	:	1548510969
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	:	910-615-6949
Fax Number	:

Provider Business Practice Location Address
First Line	:	4140 FERNCREEK DR STE 601
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28314-2569
Country	:	US
Telephone Number	:	910-485-3880
Fax Number	:	910-615-9618

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

Provider Enumeration Date	:	09/13/2012
Last Update Date	:	03/25/2025

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