| Cfv Primary Care-vineland Family Medicine | |
|
630 S Madison St Whiteville NC 28472-4130 | |
| (910) 862-1333 | |
| (910) 862-1334 |
| Full Name | Cfv Primary Care-vineland Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 630 S Madison St, Whiteville, North Carolina |
| Authorized Official Name and Position | Joseph B Fiser (VP CORP REV & MANAGED CARE PLANNING) |
| Authorized Official Contact | 9106155572 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cfv Primary Care-vineland Family Medicine Po Box 40908 Fayetteville NC 28309-0908 Ph: (910) 615-6949 | Cfv Primary Care-vineland Family Medicine 630 S Madison St Whiteville NC 28472-4130 Ph: (910) 862-1333 |
| NPI Number | 1821764390 |
|---|---|
| Provider Enumeration Date | 08/17/2021 |
| Last Update Date | 11/19/2023 |
| Medicare PECOS PAC ID | 6800967969 |
|---|---|
| Medicare Enrollment ID | O20211006001140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821764390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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