Community Dme, Inc | |
2409 Murchison Rd Fayetteville NC 28301-3519 | |
(910) 488-6118 | |
(910) 488-6810 |
Full Name | Community Dme, Inc |
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Speciality | General Practice |
Location | 2409 Murchison Rd, Fayetteville, North Carolina |
Authorized Official Name and Position | Delvin Mcallister (CEO) |
Authorized Official Contact | 9104886118 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Community Dme, Inc 2409 Murchison Rd Fayetteville NC 28301-3519 Ph: (910) 488-6118 | Community Dme, Inc 2409 Murchison Rd Fayetteville NC 28301-3519 Ph: (910) 488-6118 |
NPI Number | 1083134092 |
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Provider Enumeration Date | 06/21/2017 |
Last Update Date | 10/26/2021 |
Medicare PECOS PAC ID | 2163795394 |
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Medicare Enrollment ID | O20170908002386 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083134092 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (North Carolina) | Secondary |
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