KIDZPLEX FITNESS


Address: 1830q Owen Dr, Fayetteville, NC 28304-3421
Phone: 8433381186

KIDZPLEX FITNESS (NPI# 1578767299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578767299
Entity Type Organization
Organization Name KIDZPLEX FITNESS
Other Organization Name RUE DE SANTE
Practice Address 1830q Owen Dr
Fayetteville
NC 28304-3421
Mailing Address 4425 Bent Grass Dr
Fayetteville
NC 28312-9140
Practice Telephone 8433381186
Mailing Telephone 9104849212
Mailing Fax Number 9104849212
Enumeration Date 2007-06-14
Last Update Date 2008-08-12
Authorized Official Name MRS. DORIS LORRAINE PINCKNEY (PRESIDENT)
Authorized Official Telephone 9104849212
Authorized Official Credential RN, MSN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center 207197 NC Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Rue de Sante Former Legal Business Name - Organization

Office Location

Street Address 1830Q OWEN DR
City FAYETTEVILLE
State NC
Zip Code 28304-3421

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1780179580 Ma Cornelia Villavicencio Leano Nurse Practitioner 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 2018-06-25
1861986267 Pediatric After Hours Care of Fayetteville Pediatrics 556 Sandhurst Drive, Fayetteville, NC 28304 2018-06-19
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1003321365 Valleygate Dental Surgery Center of Fayetteville, LLC Dentist 2038 Litho Place, Fayetteville, NC 28304 2017-12-08
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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1023500725 Greenbrook Tms Fayetteville LLC Clinic/Center 1991 Fordham Dr Ste 202, Fayetteville, NC 28304-3774 2018-05-30
1871013367 Shiloh Health and Longevity Clinic/Center 1794 E Joyce Blvd Ste 1, Fayetteville, AR 72703-5257 2017-06-26
1942687900 St Marys Hca of South Carolina Clinic/Center 2603 Cumberland Gap Drive, Suite 203, Fayetteville, NC 28306 2015-04-29
1407017965 Correctiona Medical Associates Clinic/Center 205 Mcintosh Place Dr, Fayetteville, GA 30214-7384 2008-06-18
1376728154 Massage Therapeutics, Inc Center for Wellness Clinic/Center 500 Lanier Ave W Ste 411, Fayetteville, GA 30214-7638 2007-12-30
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Competitor

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City FAYETTEVILLE
Zip Code 28304

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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