STEDMAN - WADE HEALTH SERVICES, INC (NPI# 1609186790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609186790 |
Entity Type | Organization |
Organization Name | STEDMAN - WADE HEALTH SERVICES, INC |
Other Organization Name | WADE FAMILY MEDICAL CENTER DOWNTOWN |
Practice Address |
2409 Murchison Rd Ste B Fayetteville NC 28301-3519 |
Practice Telephone | 9104836696 |
Mailing Telephone | 9104836696 |
Enumeration Date | 2010-10-07 |
Last Update Date | 2010-10-07 |
Authorized Official Name | MARGARET COVINGTON (CEO) |
Authorized Official Telephone | 9104836696 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Wade Family Medical Center Downtown | Doing Business As Name - Organization |
Street Address |
2409 MURCHISON RD STE B |
City | FAYETTEVILLE |
State | NC |
Zip Code | 28301-3519 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134726219 | Jenna Michelle Odneal | Behavior Technician | 16915 Liverpool Pkwy. Suite B., Cornelius, NC 28301 | 2020-10-02 |
1790390094 | Jessica Shellman | Counselor | 408 Person St. Ste 103, Fayetteville, NC 28301 | 2020-09-14 |
1487205951 | Martha K Richardson | Technician | 720 Teachers Dr, Fayetteville, NC 28301 | 2019-09-25 |
1013568161 | Angela Rena Locklear | Counselor | 211 Lamon St, Fayeteville, NC 28301 | 2019-09-20 |
1619535747 | Teresa Wilson | Contractor | 1417 Canyionland Ct, Apt 209, Fayetteville, NC 28301 | 2019-06-04 |
1912461815 | Catherine Stevenson Nwogalanya | Community Health Worker | 1103 Hillsboro St., Fayetteville, NC 28301 | 2019-01-24 |
1811443187 | Michael Carroll | Counselor | 308 Peterson Place, Fayetteville, NC 28301 | 2016-08-28 |
1023499886 | Latifa Fedai | Nurse Practitioner | 380 Person Street, Fayettevill, NC 28301 | 2015-06-17 |
1265868939 | Aci Support Specialists | Community/Behavioral Health | 1725 Venna Drive, Fayetteville, NC 28301 | 2013-09-25 |
1871929547 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 2820 Copenhagen Drive, Fayetteville, NC 28301 | 2013-09-25 |
Find all providers in zip 28301 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568021160 | Brighter Pathway To Healthcare | Clinic/Center | 2641 Cameron Woods Ln Apt Suite, Fayetteville, NC 28306-7700 | 2019-06-07 |
1720642770 | Arcare | Clinic/Center | 2894 N Mckee Cir Ste 101, Fayetteville, AR 72703-3498 | 2019-04-25 |
1174003685 | Premise Health of Arkansas Medical P A | Clinic/Center | 2907 E Joyce Blvd Ste 6, Fayetteville, AR 72703-5390 | 2018-08-15 |
1770004723 | Vita Family Practice Pllc | Clinic/Center | 609 Executive Pl Ste B, Fayetteville, NC 28305-5713 | 2017-06-29 |
1083087837 | Cornerstone Family Practice & Urgent Care, Pllc | Clinic/Center | 2547 Ravenhill Dr, Suite 104, Fayetteville, NC 28303-9616 | 2015-11-02 |
1093020240 | Georgia Medical Consultants, P.C. | Clinic/Center | 101 Devant Street, Suite 105, Fayetteville, GA 30214-7636 | 2010-08-12 |
1063682227 | Noralean Williams,md,pa | Clinic/Center | 705 Cumberland St, #a, Fayetteville, NC 28301-7020 | 2008-03-04 |
1548358526 | Carolina Family Practice Centre,pa | Clinic/Center | 2500 Village Dr Ste 100, Fayetteville, NC 28304-3811 | 2006-10-11 |
1841247368 | Five Oaks Family Clinic, Inc. | Clinic/Center | Rr 3 Box 458e, Fayetteville, WV 25840-9589 | 2006-05-29 |
1649223637 | Well Point Urgent Care and Family Clinic Inc | Clinic/Center | 601 Ramsey St, Fayetteville, NC 28301-4913 | 2006-05-18 |
Find all providers in FAYETTEVILLE |
City | FAYETTEVILLE |
Zip Code | 28301 |
Please comment or provide details below to improve the information on STEDMAN - WADE HEALTH SERVICES, 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.