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FAYETTEVILLE VA MEDICAL CENTER
NPI 1710181003
General Acute Care Hospital in Fayetteville, NC

Active since June 12, 2007CLIA Certified · 2 labs
2300 RAMSEY ST, FAYETTEVILLE, NC 28301(910) 488-2120 Get Directions Write a Review

NPPES record last updated: July 11, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Fayetteville Va Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAYETTEVILLE VA MEDICAL CENTER (NPI 1710181003) is a healthcare organization registered as a general acute care hospital in Fayetteville, North Carolina and active in the NPI registry since June 2007. The organization holds 2 active CLIA laboratory certificates and lists Keemia S. Hurst, Social Worker, as its authorized official.

NPPES Registry Identity

NPI1710181003
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameFAYETTEVILLE VA MEDICAL CENTER
Location Address2300 RAMSEY STFayetteville, NC 28301-3856
Mailing Address8202 Mcguire DrRaleigh, NC 27616-7702 · (919) 179-1474
Phone(910) 488-2120
Organization SubpartNo
Authorized OfficialKeemia S. HurstSocial Worker · (910) 488-2120
Enumeration DateJune 12, 2007
Last NPPES UpdateJuly 11, 2007
✔ NPI 1710181003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in NC · P003421
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
2300 RAMSEY ST, Fayetteville, NC 28301
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CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 34D2023383

Fayetteville VA Dialysis Center · Fayetteville, NC
Active · expires May 22, 2032
CLIA Number34D2023383
Laboratory TypePhysician Office
Certificate Effective DateApril 21, 2011
Certificate Expiration DateMay 22, 2032
Laboratory DirectorRuly Yoediono
Laboratory Phone(910) 488-2120
Laboratory LocationFayetteville VA Dialysis Center2301 Robeson Street, Fayetteville, NC 28305
CLIA data matches this NPI record on: Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 34D2105697

Fayetteville VA Health Care Center · Fayetteville, NC
Active · expires May 22, 2032
CLIA Number34D2105697
Laboratory TypeRural Health Clinic
Certificate Effective DateDecember 2, 2015
Certificate Expiration DateMay 22, 2032
Laboratory DirectorTerri S. Giles
Laboratory Phone(910) 488-2120
Laboratory LocationFayetteville VA Health Care Center7300 S Raeford Road, Fayetteville, NC 28304
CLIA data matches this NPI record on: Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSHUA DEION MOORE
Dietitian, Registered
2300 RAMSEY ST
FAYETTEVILLE, NC 28301
Cumberland County (910) 488-2120
DR. MARY BETH BARNES PSY.D.
Psychologist (Clinical)
2300 RAMSEY ST, MS 116
FAYETTEVILLE, NC 28301
Cumberland County (910) 488-2120
MR. DAVID CRAIG MELVIN PHARMD
Pharmacist
2300 RAMSEY ST
FAYETTEVILLE, NC 28301
Cumberland County (910) 488-2120
DR. ANGELA H. ELLIOTT PHARM.D.
Pharmacist (Psychiatric)
2300 RAMSEY ST
FAYETTEVILLE, NC 28301
Cumberland County (910) 482-5151
MS. MITCHELL THOMPSON
Social Worker (Clinical)
2300 RAMSEY ST
FAYETTEVILLE, NC 28301
Cumberland County (910) 488-2120
SAN SAN WAI M.D.
Internal Medicine
2300 RAMSEY ST, VA MEDICAL CENTER
FAYETTEVILLE, NC 28301
Cumberland County (910) 488-2120
JORDAN LEE LASATER
Pharmacist
2300 RAMSEY ST
FAYETTEVILLE, NC 28301
Cumberland County (910) 488-2120
CARL T COGDELL LCSW
Social Worker (Clinical)
2300 RAMSEY ST
FAYETTEVILLE, NC 28301
Cumberland County (252) 717-5043

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fayetteville VA Medical Center's NPI number?

The NPI number for Fayetteville VA Medical Center is 1710181003. It was assigned to this organization in the NPPES registry on June 12, 2007.

Where is Fayetteville VA Medical Center located?

Fayetteville VA Medical Center is located at 2300 Ramsey St, Fayetteville, NC 28301. The listed phone number is (910) 488-2120.

What is Fayetteville VA Medical Center's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Does Fayetteville VA Medical Center hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Fayetteville VA Medical Center was last updated on July 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.