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Organization
MIDWAY MEDICAL CENTER, PA
Active
Organization
MIDWAY MEDICAL CENTER, PA
Active
Parent organization
MIDWAY MEDICAL CENTER, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDWAY MEDICAL CENTER, PA
Authorized official
MARK E KINTER MD (PRESIDENT)
(828) 627-2211
Entity
Organization
Contact information
Practice address
6750 CAROLINA BLVD, CLYDE, NC 28721-7052
(828) 627-2211
(855) 876-9354
Mailing address
6750 CAROLINA BLVD, CLYDE, NC 28721-7052
(828) 627-2211
(855) 876-9354
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
62447
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4245150001
MEDICARE DME
NC
05
—
5900304
—
NC
01
—
C17128
RR MEDICARE
NC
Enumeration date
08/18/2008
Last updated
08/01/2024
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