| Wade Family Medical Center Downtown | |
|
2313 Murchison Rd Fayetteville NC 28301-3517 | |
| (910) 483-6694 | |
| Not Available |
| Full Name | Wade Family Medical Center Downtown |
|---|---|
| Speciality | Clinic/Center |
| Location | 2313 Murchison Rd, Fayetteville, North Carolina |
| Authorized Official Name and Position | Margaret Covington (CEO) |
| Authorized Official Contact | 9104836694 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wade Family Medical Center Downtown 2313 Murchison Rd Fayetteville NC 28301-3517 Ph: (910) 483-6694 | Wade Family Medical Center Downtown 2313 Murchison Rd Fayetteville NC 28301-3517 Ph: (910) 483-6694 |
| NPI Number | 1609186790 |
|---|---|
| Provider Enumeration Date | 10/07/2010 |
| Last Update Date | 05/22/2024 |
| Medicare PECOS PAC ID | 0042205189 |
|---|---|
| Medicare Enrollment ID | O20110622000171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609186790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Tandeka N Burks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689675001 PECOS PAC ID: 3274564075 Enrollment ID: I20050822000784 |
| Provider Name | Nancy L Henderson-hines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336142959 PECOS PAC ID: 0648281097 Enrollment ID: I20060522000043 |
| Provider Name | Sandra M Carr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114085354 PECOS PAC ID: 6901946052 Enrollment ID: I20091221000446 |
| Provider Name | Hermeisha Hopson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679717755 PECOS PAC ID: 0143543363 Enrollment ID: I20141219000921 |
| Provider Name | Roumyana Ivanova Spassova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588914337 PECOS PAC ID: 7517283476 Enrollment ID: I20150312000046 |
| Provider Name | Anna Watkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245627264 PECOS PAC ID: 2860746120 Enrollment ID: I20181126003494 |
| Provider Name | Candace Phillips Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619629813 PECOS PAC ID: 4284014341 Enrollment ID: I20220706003915 |
| Provider Name | Cheryl L Hooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023631199 PECOS PAC ID: 8426428384 Enrollment ID: I20230110002921 |
| Provider Name | Patricia Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750856324 PECOS PAC ID: 7113263989 Enrollment ID: I20231030000146 |
| Provider Name | Kirsten Rasmussen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538412242 PECOS PAC ID: 8921455346 Enrollment ID: I20240506000605 |
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