Medac Health Services, Pa

LBN: Medac Health Services, Pa
Medac Health Services, Pa is an health care organization with primary practice located at 8115 Market St Suite 100, Wilmington NC 28411-8427. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Medac Health Services, Pa can be contacted via phone (910) 686-1972, or through Moulton, Michael Paul via phone (910) 452-1400.

Contact Information

Primary practice address
8115 Market St Suite 100 Wilmington NC 28411-8427
Phone: (910) 686-1972
Fax: (910) 332-1072
Website:
Map and Directions
Authorized official contact:
Name: Moulton, Michael Paul Doctor of Medicine (MD)
Phone: (910) 452-1400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 15811 North Carolina

Profile Details

NPI number 1114100872
LBN Legal business name Medac Health Services, Pa
DBA Doing business as
Authorized official Moulton, Michael Paul Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 17th, 2007
Last updated May 3rd, 2011 - about 15 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 1114100872 NPPES
North Carolina Other 07651 BCBS
North Carolina Other CC2877 BCBS

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