| Fayetteville Family Extended Care | |
|
1307 Avon St Fayetteville NC 28304-4423 | |
| (910) 323-1718 | |
| (910) 323-5701 |
| Full Name | Fayetteville Family Extended Care |
|---|---|
| Speciality | Family Medicine |
| Location | 1307 Avon St, Fayetteville, North Carolina |
| Authorized Official Name and Position | Alice M Kugler (ADMINISTRATOR) |
| Authorized Official Contact | 9103231718 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fayetteville Family Extended Care 1307 Avon St Fayetteville NC 28304-4423 Ph: (910) 323-1718 | Fayetteville Family Extended Care 1307 Avon St Fayetteville NC 28304-4423 Ph: (910) 323-1718 |
| NPI Number | 1710977681 |
|---|---|
| Provider Enumeration Date | 10/24/2005 |
| Last Update Date | 04/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710977681 | NPI | - | NPPES |
| 89015CY | Medicaid | NC | |
| 015CY | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (North Carolina) | Primary |
Massey Hill Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1074 Southern Ave, Fayetteville, NC 28306 Phone: 910-723-5693 | |
Health Pavilion Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6387 Ramsey St Unit 210, Fayetteville, NC 28311 Phone: 910-615-3920 Fax: 910-321-6221 | |
Rapha Primary Care Center Of Fayetteville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5085 Morganton Rd, Fayetteville, NC 28314 Phone: 910-864-4357 Fax: 910-221-0099 | |
Breezewood Healthcare, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Forsythe St, Fayetteville, NC 28303 Phone: 910-485-0700 Fax: 910-483-9572 | |
Goodlife Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6650 Ramsey St, Fayetteville, NC 28311 Phone: 910-630-5203 | |
Greenbrook Tms Fayetteville Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1991 Fordham Dr Ste 202, Fayetteville, NC 28304 Phone: 855-910-4867 | |
Id Care Of Nc Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1319 Avon St, Fayetteville, NC 28304 Phone: 910-729-6552 Fax: 910-500-1002 |