Medac Health Services Pa

LBN: Medac Health Services Pa
Medac Health Services Pa is an health care organization with primary practice located at 4402 Shipyard Blvd , Wilmington NC 28403. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Urgent Care is the primary health care specialty. Medac Health Services Pa can be contacted via phone (910) 452-1400, or through Moulton, M.D., Michael P. via phone (910) 452-1400.

Contact Information

Primary practice address
4402 Shipyard Blvd Wilmington NC 28403
Phone: (910) 452-1400
Fax: (910) 332-1072
Website:
Map and Directions
Authorized official contact:
Name: Moulton, M.D., Michael P.
Phone: (910) 452-1400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1356345920
LBN Legal business name Medac Health Services Pa
DBA Doing business as
Authorized official Moulton, M.D., Michael P.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2005
Last updated Oct 28th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356345920 NPPES
North Carolina Other CC2877 RAILROAD MEDICARE
North Carolina Other 07651 RAILROAD MEDICARE

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