| Statcare Urgent Care Clinic | |
|
9525 Cliffdale Rd. Fayetteville NC 28304 | |
| (910) 826-7925 | |
| (910) 864-7925 |
| Full Name | Statcare Urgent Care Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 9525 Cliffdale Rd., Fayetteville, North Carolina |
| Authorized Official Name and Position | Raju B Raval (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9108267828 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Statcare Urgent Care Clinic P.o. Box 87707 Fayetteville NC 28304 Ph: (910) 826-7828 | Statcare Urgent Care Clinic 9525 Cliffdale Rd. Fayetteville NC 28304 Ph: (910) 826-7925 |
| NPI Number | 1750448791 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 07/19/2013 |
| Medicare PECOS PAC ID | 9234272022 |
|---|---|
| Medicare Enrollment ID | O20100202000356 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750448791 | NPI | - | NPPES |
| 027AU | Other | NC | BCBS |
| 5903128 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 9700722 (North Carolina) | Primary |
| Provider Name | Raju B Raval |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962403196 PECOS PAC ID: 9032181631 Enrollment ID: I20040812000486 |
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