STEDMAN - WADE HEALTH SERVICES, INC


Address: 2409 Murchison Rd Ste B, Fayetteville, NC 28301-3519
Phone: 9104836696

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Wade Family Medical Center Downtown Doing Business As Name - Organization

Office Location

Street Address 2409 MURCHISON RD STE B
City FAYETTEVILLE
State NC
Zip Code 28301-3519

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1619535747 Teresa Wilson Contractor 1417 Canyionland Ct, Apt 209, Fayetteville, NC 28301 2019-06-04
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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
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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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
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Competitor

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City FAYETTEVILLE
Zip Code 28301

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Dataset Information

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.

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