Organization
MEDAC HEALTH SERVICES, PA
Active
Other names
Medac Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MALONEY (CEO)
(616) 656-2750
Entity
Organization
Contact information
Practice address
4402 SHIPYARD BLVD, WILMINGTON, NC 28403
(910) 791-0075
(910) 791-5359
Mailing address
216 CENTERVIEW DR, BRENTWOOD, TN 37027-3226
(910) 791-0075
(910) 791-5359
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
06/10/2005
Last updated
10/21/2024
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