| Alpha Medical Center, Pa | |
|
1815 Fort Bragg Rd Fayetteville NC 28303-6804 | |
| (910) 221-3300 | |
| (910) 221-3302 |
| Full Name | Alpha Medical Center, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1815 Fort Bragg Rd, Fayetteville, North Carolina |
| Authorized Official Name and Position | Babatunde Ojo (PRESIDENT) |
| Authorized Official Contact | 9102213300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha Medical Center, Pa Po Box 1689 Etowah NC 28729-1689 Ph: (828) 891-5524 | Alpha Medical Center, Pa 1815 Fort Bragg Rd Fayetteville NC 28303-6804 Ph: (910) 221-3300 |
| NPI Number | 1285719997 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 08/13/2009 |
| Medicare PECOS PAC ID | 8729045240 |
|---|---|
| Medicare Enrollment ID | O20041216000538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285719997 | NPI | - | NPPES |
| 1246H | Other | NC | BCBS |
| 891246H | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 9901274 (North Carolina) | Primary |
| Provider Name | Babatunde A Ojo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336125707 PECOS PAC ID: 8628035045 Enrollment ID: I20041228000216 |
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