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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