CAPE FEAR VALLEY HEALTH-THE CLINIC AT WALMART – NPI #1083927313
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

CAPE FEAR VALLEY HEALTH-THE CLINIC AT WALMART is a provider located in RAEFORD, NC. NPPES has assigned the NPI number 1083927313 to CAPE FEAR VALLEY HEALTH-THE CLINIC AT WALMART on July 15, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CAPE FEAR VALLEY HEALTH-THE CLINIC AT WALMART” is a dba name, the actual legal business name for this organization is CAPE FEAR VALLEY HEALTH SYSTEM SPECIALTY GROUP, LLC. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CAPE FEAR VALLEY HEALTH-THE CLINIC AT WALMART below.

NPI Profile for
CAPE FEAR VALLEY HEALTH SYSTEM SPECIALTY GROUP, LLC

NPI Number
1083927313
Enumeration Date

(about 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CAPE FEAR VALLEY HEALTH SYSTEM SPECIALTY GROUP, LLC
Doing Business As (dba): CAPE FEAR VALLEY HEALTH-THE CLINIC AT WALMART
Primary location
4545 FAYETTEVILLE ROAD
RAEFORD, NC 28376
Phone: (910) 615-3100 Fax: (910) 486-2154
Mailing address
PO BOX 40908
FAYETTEVILLE, NC 28309-0908
Phone: (910) 615-6448 Fax: (910) 615-5070
Organization Subpart
No
Authorized Official
MICHAEL NAGOWSKI
CEO
Phone: (910) 615-6700
Updated
Identifiers

Identifiers for CAPE FEAR VALLEY HEALTH-THE CLINIC AT WALMART

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNCPENDING
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)		 NC H0213

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.