| New Hope Family Practice, Pc | |
|
530 Sandhurst Dr Fayetteville NC 28304-4426 | |
| (910) 867-7777 | |
| (910) 868-7778 |
| Full Name | New Hope Family Practice, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 530 Sandhurst Dr, Fayetteville, North Carolina |
| Authorized Official Name and Position | Connie Lynn Brooks-fernandez (OFFICER/PRESIDENT) |
| Authorized Official Contact | 9108677777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Hope Family Practice, Pc 530 Sandhurst Dr Fayetteville NC 28304-4426 Ph: (910) 867-7777 | New Hope Family Practice, Pc 530 Sandhurst Dr Fayetteville NC 28304-4426 Ph: (910) 867-7777 |
| NPI Number | 1568642445 |
|---|---|
| Provider Enumeration Date | 11/08/2007 |
| Last Update Date | 12/01/2014 |
| Medicare PECOS PAC ID | 2668561853 |
|---|---|
| Medicare Enrollment ID | O20071211000712 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568642445 | NPI | - | NPPES |
| 1232U | Other | NC | BCBS |
| 5906416 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 9701262 (North Carolina) | Primary |
| Provider Name | Connie L Brooks-fernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053445627 PECOS PAC ID: 3173567369 Enrollment ID: I20050617000986 |
| Provider Name | Gabriel I Fernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902808850 PECOS PAC ID: 0648468728 Enrollment ID: I20101216000802 |
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