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Organization
MEDAC HEALTH SERVICES, PA
Active
Organization
MEDAC HEALTH SERVICES, PA
Active
Parent organization
MEDAC HEALTH SERVICES, PA
Other names
Medac Urgent Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDAC HEALTH SERVICES, PA
Authorized official
DAVID MALONEY (CEA)
(616) 656-2750
Entity
Organization
Contact information
Practice address
8115 MARKET ST, SUITE 100, WILMINGTON, NC 28411-8427
(910) 686-1972
(910) 686-2129
Mailing address
216 CENTERVIEW DR STE 100, BRENTWOOD, TN 37027-3226
(910) 791-0075
(615) 656-2745
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07651
BCBS
NC
01
—
CC2877
RAILROAD MEDICARE
NC
Enumeration date
12/17/2007
Last updated
10/21/2024
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