CUMBERLAND COUNTY HOSPITAL SYSTEM, INC. (NPI# 1992709810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992709810 |
| Entity Type | Organization |
| Organization Name | CUMBERLAND COUNTY HOSPITAL SYSTEM, INC. |
| Other Organization Name | BEHAVIORAL HEALTH CARE OF CAPE FEAR VALLEY HEALTH SYSTEM |
| Practice Address |
3425 Melrose Rd Fayetteville NC 28304-1608 |
| Practice Telephone | 9106093700 |
| Practice Fax Number | 9106093784 |
| Mailing Telephone | 9106093700 |
| Mailing Fax Number | 9106093784 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RICHARD PARKS (CEO) |
| Authorized Official Telephone | 9106096700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| X | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| X | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| X | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
H0213 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 890172J | 05 |
| Other Name | Type Code |
|---|---|
| Behavioral Health Care of Cape Fear Valley Health System | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578996252 | Cumberland County Hospital System, Inc. | Counselor | 711 Executive Pl, 4th Floor, Fayetteville, NC 28305-5193 | 2013-08-16 |
| 1700287869 | Cumberland County Hospital System, Inc. | Internal Medicine | 1638 Owen Dr, Attn: Managed Care Planning, Fayetteville, NC 28304-3424 | 2014-09-09 |
| 1245661701 | Cumberland County Hospital System, Inc. | Internal Medicine | 6387 Ramsey Street, Suite 140, Fayetteville, NC 28311 | 2013-12-10 |
| 1386084671 | Cumberland County Hospital System, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2153 Valleygate Dr, Suite 101, Fayetteville, NC 28304-3681 | 2013-07-01 |
| 1881946242 | Cumberland County Hospital System, Inc. | Clinic/Center | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2012-10-10 |
| 1548510969 | Cumberland County Hospital System, Inc. | Specialist | 4140 Ferncreek Dr, Suite 601, Fayetteville, NC 28314-2563 | 2012-09-13 |
| 1356565543 | Cumberland County Hospital System, Inc. | Audiologist | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2007-04-12 |
| 1457575649 | Cumberland County Hospital System, Inc. | Case Manager/Care Coordinator | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2007-04-12 |
| 1639172869 | Cumberland County Hospital System, Inc. | General Acute Care Hospital | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2005-05-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Cumberland County Hospital System, Inc. | 1638 Owen Dr, Fayetteville, NC 28304 |
| Street Address |
3425 MELROSE RD |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-1608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730183682 | Mary Christine Chupkowski | Counselor | 3425 Melrose Rd, Fayetteville, NC 28304-1608 | 2005-06-09 |
| 1013403369 | Shakira D Nelson | Social Worker | 3425 Melrose Rd, Fayetteville, NC 28304-1608 | 2018-07-10 |
| 1831510882 | Ian Ward | Physician Assistant | 3425 Melrose Rd, Fayetteville, NC 28304-1608 | 2013-12-18 |
| 1962746016 | Tanja O Mcnelis | Social Worker | 3425 Melrose Rd, Fayetteville, NC 28304-1608 | 2012-11-15 |
| 1053550392 | Behavioral Health of Cape Fear Valley Health System | Psychiatric Hospital | 3425 Melrose Rd, Fayetteville, NC 28304-1608 | 2009-02-10 |
| 1710028139 | Ramona M Smerz | Social Worker | 3425 Melrose Rd, Fayetteville, NC 28304-1608 | 2007-02-09 |
| 1215967989 | Mary Ellen Lavoie | Social Worker | 3425 Melrose Rd, Cape Fear Valley Behavioral Health Care, Fayetteville, NC 28304-1608 | 2006-07-05 |
| 1356397004 | Kenneth Gregory Smith | Social Worker | 3425 Melrose Rd, Fayetteville, NC 28304-1608 | 2006-05-25 |
| 1073579918 | Navpreet Brar | Psychiatry & Neurology | 3425 Melrose Rd, Fayetteville, NC 28304-1608 | 2006-04-20 |
| 1811957111 | Lee Graham Raudenbush | Physician Assistant | 3425 Melrose Rd, Behavioral Health Care, Fayetteville, NC 28304-1608 | 2006-03-23 |
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619583432 | Don Del-raye Jones | Counselor | 521 Rempstone Ln, Fayetteville, NC 28311-5501 | 2020-09-17 |
| 1023628278 | Quadiedra Amos | Counselor | 3675 Fallstaff Dr, Fayetteville, NC 28306-9079 | 2020-08-03 |
| 1699385963 | William Jones | Counselor | 4250 Clinton Rd Ste 102, Fayetteville, NC 28312-8517 | 2020-08-03 |
| 1952919573 | Bianca Thomas | Counselor | 2713 Lake Club Dr, Fayetteville, NC 28304-5349 | 2020-07-20 |
| 1962029546 | Deanna Dale Dunn | Counselor | 767 W North St Ste 112, Fayetteville, AR 72701-1865 | 2020-06-30 |
| 1053937490 | Balance Ground Counseling LLC | Counselor | 240 Lofty Eagle Ln, Fayetteville, GA 30214-3531 | 2020-06-22 |
| 1659994010 | Martanika Michelle Smith | Counselor | 351 Wagoner Dr Ste 105, Fayetteville, NC 28303-4608 | 2020-05-20 |
| 1477188985 | Qiana Tamieka Gatling | Counselor | 4417 Briton Cir, Fayetteville, NC 28314-2401 | 2020-03-04 |
| 1467086496 | The Pair Center for Couples Counseling Pllc | Counselor | 5085 Morganton Road, Suite 300, Fayetteville, NC 28314 | 2020-02-28 |
| 1194359182 | Meredith Leigh Kimbrough | Counselor | 31 E Center St Ste 210, Fayetteville, AR 72701-5391 | 2020-02-27 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
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| 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.