Organization Name: | MID-STATE HEALTH SYSTEMS, INC |
NPI Number: | 1477865541 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SERA GILMORE (PRESIDENT) |
Mailing Address: | 3721 Legion Rd Hope Mills |
State: | NC US |
Postal Code: | 283488411 |
Phone Number: | 9104843717 |
Fax Number: | 9104841315 |
NPI Enumeration Date: | 07/06/2010 |
NPI Last Update Date: | 07/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |