| Rapha Urgent Care Pllc | |
|
1905 Skibo Rd Fayetteville NC 28314-0260 | |
| (910) 864-4357 | |
| (910) 221-0099 |
| Full Name | Rapha Urgent Care Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1905 Skibo Rd, Fayetteville, North Carolina |
| Authorized Official Name and Position | Daniel Uba (PRESIDENT) |
| Authorized Official Contact | 9108644357 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rapha Urgent Care Pllc 1905 Skibo Rd Ste 100 Fayetteville NC 28314-0261 Ph: (970) 406-4148 | Rapha Urgent Care Pllc 1905 Skibo Rd Fayetteville NC 28314-0260 Ph: (910) 864-4357 |
| NPI Number | 1508522343 |
|---|---|
| Provider Enumeration Date | 11/16/2021 |
| Last Update Date | 11/16/2021 |
| Medicare PECOS PAC ID | 5395130561 |
|---|---|
| Medicare Enrollment ID | O20220325000224 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508522343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Damon Kimmery Arrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629055918 PECOS PAC ID: 8820081011 Enrollment ID: I20040405000830 |
| Provider Name | Daniel C Uba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578540860 PECOS PAC ID: 7315992450 Enrollment ID: I20050324000513 |
| Provider Name | Sarah E Maltba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821670878 PECOS PAC ID: 8729482096 Enrollment ID: I20210809001813 |
| Provider Name | Mary J Tuitoek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184349060 PECOS PAC ID: 8325419179 Enrollment ID: I20230114000036 |
| Provider Name | Jasmine Elizabeth Gaston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407421779 PECOS PAC ID: 2567811227 Enrollment ID: I20231207001186 |
| Provider Name | Ember Elizabeth Filipowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902575491 PECOS PAC ID: 9537504311 Enrollment ID: I20240303000116 |
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