CUMBERLAND COUNTY HOSPITAL SYSTEM, INC (NPI# 1013325281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013325281 |
| Entity Type | Organization |
| Organization Name | CUMBERLAND COUNTY HOSPITAL SYSTEM, INC |
| Other Organization Name | TRAUMA AND ACUTE CARE SERVICES |
| Practice Address |
1638 Owen Dr Fayetteville NC 28304-3424 |
| Mailing Address |
1638 Owen Dr Managed Care Planning Department Fayetteville NC 28304-3424 |
| Practice Telephone | 9106158000 |
| Practice Fax Number | 9106155715 |
| Mailing Telephone | 9106156949 |
| Mailing Fax Number | 9106159761 |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2014-11-17 |
| Authorized Official Name | MR. MICHAEL NAGOWSKI (CEO) |
| Authorized Official Telephone | 9106156700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Trauma and Acute Care Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265656458 | Cumberland County Hospital System, Inc | Case Manager/Care Coordinator | 1706 Cedar Creek Rd, Fayetteville, NC 28312-9538 | 2007-04-12 |
| 1336131010 | Cumberland County Hospital System, Inc | Family Medicine | 5523 Waldos Beach Rd, Fayetteville, NC 28306 | 2005-08-18 |
| 1356344071 | Cumberland County Hospital System, Inc | Family Medicine | 2409 Murchison Rd, Fayetteville, NC 28301-3519 | 2005-05-27 |
| 1821091851 | Cumberland County Hospital System, Inc | General Acute Care Hospital | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2005-05-23 |
| 1982607115 | Cumberland County Hospital System, Inc | General Acute Care Hospital | 150 Robeson St, Fayetteville, NC 28301-5570 | 2005-05-23 |
| 1497758544 | Cumberland County Hospital System, Inc | Hospice Care, Community Based | 3418 Village Dr, Fayetteville, NC 28304-4552 | 2005-05-23 |
| 1033430475 | Cumberland County Hospital System, Inc | Urology | 2301 Robeson St, Suite 301, Fayetteville, NC 28305-5551 | 2010-06-21 |
| 1881687812 | Cumberland County Hospital System, Inc | Durable Medical Equipment & Medical Supplies | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2005-08-24 |
| 1790784999 | Cumberland County Hospital System, Inc | Nurse Anesthetist, Certified Registered | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2005-07-19 |
| 1447255328 | Cumberland County Hospital System, Inc | Family Medicine | 405 S Main St, Raeford, NC 28376-3222 | 2005-06-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Cumberland County Hospital System, Inc. | 1638 Owen Dr, Fayetteville, NC 28304 |
| Street Address |
1638 OWEN DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-3424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821091851 | Cumberland County Hospital System, Inc | General Acute Care Hospital | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2005-05-23 |
| 1265032536 | Heidi Ellen Jumbercotta | Internal Medicine | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-10-27 |
| 1346848306 | Jessica Hooten | Nurse Practitioner | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-10-13 |
| 1881200665 | Kathleen Macalalag | Pharmacist | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-09-17 |
| 1790395523 | Anna Caitlyn Felmer | Pharmacist | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-08-06 |
| 1427668359 | Benjamin Josiah Tutterow | Pharmacist | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-08-05 |
| 1063022994 | George Thomas Sessoms IIi | Pharmacist | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-08-05 |
| 1437769759 | Teresa Cooper Jones | Pharmacist | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-08-01 |
| 1881202901 | Chantel Davis | Specialist/Technologist, Other | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-07-15 |
| 1194333237 | Alyssa Worley | Occupational Therapy Assistant | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285603084 | Stephen Francis Flaherty | Surgery | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922113299 | Ronald Hardin | Surgery | 4008 Burnett-womack Building Cb# 7228, Chapel Hill, NC 27599-7228 | 2006-08-20 |
| 1669464475 | Carl E Haisch | Surgery | 517 Moye Blvd Fl 1, Ecu Physicians Transplant Surgery, Greenville, NC 27834-2849 | 2005-08-17 |
| 1689149825 | Camille Mccutcheon Buchanan | Surgery | 2301 Erwin Rd, Durham, NC 27705-4699 | 2018-10-03 |
| 1508348665 | Brian Thomas Shanahan | Surgery | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2018-09-05 |
| 1336401900 | Talitha Brown | Surgery | Medical Center Blvd, Winston Salem, NC 27157-3018 | 2012-06-11 |
| 1821382839 | Scott Michael John | Surgery | 1 Hospital Dr Ste 4200, Asheville, NC 28801 | 2011-06-07 |
| 1881914927 | Mandy Rebecca Maness | Surgery | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2010-06-10 |
| 1295058857 | Mission Medical Associates Inc | Surgery | 509 Biltmore Ave, Asheville, NC 28801-4601 | 2010-03-10 |
| 1407032055 | Piedmont Surgical Clinic, Pa | Surgery | 431 Copperfield Blvd Ne, Concord, NC 28025-3035 | 2008-01-14 |
| 1346335585 | Preston B Rich | Surgery | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2006-10-04 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
Please comment or provide details below to improve the information on CUMBERLAND COUNTY HOSPITAL SYSTEM, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.