| Cape Fear Valley Health System Specialty Group, Llc | |
| 107 E Dunham St Elizabethtown NC 28337 | |
| (910) 615-3200 | |
| (910) 615-3200 | 
| Full Name | Cape Fear Valley Health System Specialty Group, Llc | 
|---|---|
| Speciality | Psychiatry & Neurology - Sleep Medicine | 
| Location | 107 E Dunham St, Elizabethtown, North Carolina | 
| Authorized Official Name and Position | Joseph B Fiser (VP MANAGED CARE AND REIMBURSEMENT) | 
| Authorized Official Contact | 9106155572 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Cape Fear Valley Health System Specialty Group, Llc Po Box 40908 Fayetteville NC 28309-0908 Ph: (910) 615-6448 | Cape Fear Valley Health System Specialty Group, Llc 107 E Dunham St Elizabethtown NC 28337 Ph: (910) 615-3200 | 
| NPI Number | 1609196633 | 
|---|---|
| Provider Enumeration Date | 06/01/2010 | 
| Last Update Date | 07/25/2024 | 
| Certification Date | 07/25/2024 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1609196633 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | H0213 (North Carolina) | Primary | 
| Carter Clinic, P A Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1104 W Broad St, Elizabethtown, NC 28337 Phone: 919-848-0132 | |
| Omni Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 Martin Luther King Jr. Dr., Elizabethtown, NC 28337 Phone: 910-247-6822 Fax: 910-247-6829 | |
| Koship Industries Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1150 Twisted Hickory Rd, Elizabethtown, NC 28337 Phone: 843-998-1223 | |
| Modern Wellness Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1107f W Broad St, Elizabethtown, NC 28337 Phone: 910-862-4009 Fax: 910-862-6004 | |
| Direccare Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 129 West Broad St., Elizabethtown, NC 28337 Phone: 910-872-0013 Fax: 910-872-0019 | |
| Primary Health Choice, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2950 W Broad St, Elizabethtown, NC 28337 Phone: 910-862-3040 | |
| Community Innovations, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Peanut Plant Rd, Elizabethtown, NC 28337 Phone: 910-862-8363 Fax: 910-862-8767 |