Fortis Behavioral Health | |
4904 Fayetteville Rd Lumberton NC 28358-2355 | |
(910) 536-1719 | |
(910) 668-8048 |
Full Name | Fortis Behavioral Health |
---|---|
Speciality | Nurse Practitioner |
Location | 4904 Fayetteville Rd, Lumberton, North Carolina |
Authorized Official Name and Position | Deana Holland Flynn (OWNER) |
Authorized Official Contact | 9105361719 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Fortis Behavioral Health 4904 Fayetteville Rd Ste A Lumberton NC 28358-2146 Ph: (910) 536-1719 | Fortis Behavioral Health 4904 Fayetteville Rd Lumberton NC 28358-2355 Ph: (910) 536-1719 |
NPI Number | 1407571599 |
---|---|
Provider Enumeration Date | 10/11/2022 |
Last Update Date | 05/22/2025 |
Medicare PECOS PAC ID | 6901274349 |
---|---|
Medicare Enrollment ID | O20221116001689 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407571599 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
Provider Name | Deana Holland Flynn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356080683 PECOS PAC ID: 1254709694 Enrollment ID: I20221116001815 |
Southeastern Regional Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 Oakridge Blvd Ste A3, Lumberton, NC 28358 Phone: 910-738-1141 Fax: 910-738-6011 | |
Southeastern Regional Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2901 N Elm St, Lumberton, NC 28358 Phone: 910-671-5270 | |
Acme Medical Specialties, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4348 Fayetteville Rd, Lumberton, NC 28358 Phone: 910-739-5197 Fax: 910-739-5294 | |
Southeastern Regional Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2934 North Elm St., Suite B, Lumberton, NC 28358 Phone: 910-272-1175 Fax: 910-272-1176 | |
Southeastern Regional Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4308 Ludgate St, Lumberton, NC 28358 Phone: 910-671-9298 Fax: 910-738-3764 | |
Southeastern Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 Oakridge Blvd, Suite B-2, Lumberton, NC 28358 Phone: 910-272-3051 Fax: 910-738-3764 | |
Integrity Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2116 N Cedar St, Lumberton, NC 28358 Phone: 910-674-3030 Fax: 910-674-3051 |