| Mid-state Health Systems, Inc | |
|
117 Beasley St, 2nd Floor Kenansville NC 28349 | |
| (910) 296-9822 | |
| Not Available |
| Full Name | Mid-state Health Systems, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 117 Beasley St, 2nd Floor, Kenansville, North Carolina |
| Authorized Official Name and Position | Sera Gilmore (ADMINISTRATOR) |
| Authorized Official Contact | 9104843717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-state Health Systems, Inc Po Box 64724 Fayetteville NC 28306-0724 Ph: (910) 484-3717 | Mid-state Health Systems, Inc 117 Beasley St, 2nd Floor Kenansville NC 28349 Ph: (910) 296-9822 |
| NPI Number | 1679762066 |
|---|---|
| Provider Enumeration Date | 10/22/2007 |
| Last Update Date | 10/22/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679762066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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