Provider Demographics
NPI:1053405910
Name:HOSPITAL CONSULTANTS INC
Entity type:Organization
Organization Name:HOSPITAL CONSULTANTS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:D.
Authorized Official - Middle Name:A
Authorized Official - Last Name:FAIRCLOTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-485-5559
Mailing Address - Street 1:P. O. BOX 53585
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28305-3585
Mailing Address - Country:US
Mailing Address - Phone:910-485-5559
Mailing Address - Fax:910-485-1927
Practice Address - Street 1:2513 RAEFORD ROAD
Practice Address - Street 2:SUITE C
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28305-5161
Practice Address - Country:US
Practice Address - Phone:910-485-5559
Practice Address - Fax:910-485-1927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC00357332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCDM0252Medicaid
NC7700014Medicaid
0347870001Medicare ID - Type Unspecified