MID-STATE HEALTH SYSTEMS, INC


Address: 117 Beasley St, 2nd Floor, Kenansville, NC 28349
Phone: 9102969822

MID-STATE HEALTH SYSTEMS, INC (NPI# 1679762066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679762066
Entity Type Organization
Organization Name MID-STATE HEALTH SYSTEMS, INC
Practice Address 117 Beasley St, 2nd Floor
Kenansville
NC 28349
Mailing Address Po Box 64724
Fayetteville
NC 28306-0724
Practice Telephone 9102969822
Mailing Telephone 9104843717
Enumeration Date 2007-10-22
Last Update Date 2007-10-22
Authorized Official Name SERA GILMORE (ADMINISTRATOR)
Authorized Official Telephone 9104843717
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1851609085 Mid-state Health Systems, Inc Clinic/Center 2908 Reynolda Rd, Winston Salem, NC 27106-3016 2010-09-22
1114005261 Mid-state Health Systems, Inc Community/Behavioral Health 3721 Legion Rd, Hope Mills, NC 28348-8411 2006-11-02
1477634319 Mid-state Health Systems, Inc Intermediate Care Facility, Mentally Retarded 4309 N.c. Hwy 87 S, Fayetteville, NC 28306-9818 2006-10-18
1023450723 Mid-state Health Systems, Inc Intermediate Care Facility, Mentally Retarded 1050 Hogan St, Fayetteville, NC 28311-2340 2013-07-23
1083056782 Mid-state Health Systems, Inc Intermediate Care Facility, Mentally Retarded 7559 Decatur Dr, Fayetteville, NC 28303-1989 2013-07-23
1477865541 Mid-state Health Systems, Inc Clinic/Center 3721 Legion Rd, Hope Mills, NC 28348-8411 2010-07-06
1114168374 Mid-state Health Systems, Inc Community/Behavioral Health 3721 Legion Rd, Hope Mills, NC 28348-8411 2009-03-18
1992865851 Mid-state Health Systems, Inc Case Management 3721 Legion Rd, Hope Mills, NC 28348-8411 2006-12-11

Office Location

Street Address 117 BEASLEY ST, 2ND FLOOR
City KENANSVILLE
State NC
Zip Code 28349

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255820494 Ashley Thigpen Kennedy Occupational Therapist 514 South Main Street, Kenansville, NC 28349 2018-05-03
1508387531 Jeffery None Lowery Speech-Language Pathologist Vidant Duplin Rehabillitation, 514 S. Main Street, Kenansville, NC 28349 2017-06-29
1013269786 Primary Health Choice, Inc. Counselor 302 North Main Street. Suite 2, Kenansville, NC 28349 2012-10-05
1104191907 Duplin County Schools Local Education Agency (LEA) 315 N. Main St., Kenansville, NC 28349 2012-03-13
1841579844 Ashley Barnes Ezzell Pharmacist 134 Liberty Square, Suite B, Kenansville, NC 28349 2011-08-08
1265767172 Goshen Medical Center, Inc. Clinic/Center 212 Duplin St, Kenansville, NC 28349 2009-10-09
1497986509 Duplin General Hospital, Incorporated Licensed Practical Nurse 401 North Main, Kenansville, NC 28349 2009-08-06
1861697310 Teresa Ann Holland Nurse Practitioner 140 Limestone Rd, Kenansville, NC 28349 2007-06-15
1760521470 Alpha Omega Health Case Management 103 East Hill Street, Suite 3, Kenansville, NC 28349 2007-02-06
1588701122 Essential, Inc Counselor 107 West Hill St, Kenansville, NC 28349 2007-01-31
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053638593 Upscale Residential Care, Incorporated Community/Behavioral Health 302 Limestone Road, Kenansville, NC 28349-0000 2010-04-23
1871644773 Howell Support Services Community/Behavioral Health 741 Nc 24 50 Hwy, Kenansville, NC 28349-8954 2007-01-16
1710056783 Upscale Residential Care, Inc. Community/Behavioral Health 302 Limestone Rd., Hwy 50, Kenansville, NC 28349-9020 2006-11-06
1003937921 Alternative Care Treatment Systems, Inc. Community/Behavioral Health 106 N Main St, Kenansville, NC 28349-8966 2007-04-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174121438 Curtis Wayne Royal Community/Behavioral Health 1407 Groveland Trl, Greensboro, NC 27407-5061 2020-10-09
1578178588 Emmanuel Homecare, Inc. Community/Behavioral Health 12551 Hashanli Pl, Matthews, NC 28105-3401 2020-09-15
1336753284 Transformation Health Services Inc. Community/Behavioral Health 2023 Connonade Dr, Waxhaw, NC 28173-0109 2020-09-08
1053925099 Essential Pathways Counseling and Consulting, Pllc Community/Behavioral Health 5009 Beatties Ford Rd Ste 107-274, Charlotte, NC 28216-2859 2020-09-08
1720692833 Tgh Phase 2 Community/Behavioral Health 1121 Old Concord Rd Ste 14, Salisbury, NC 28146-1473 2020-09-04
1669086948 October Road, Inc. Community/Behavioral Health 1304 Plaza Dr Ste 2312, Burlington, NC 27215-7165 2020-09-03
1225640188 Flovi of Nc Inc. Community/Behavioral Health 1916 Sunset Ave, Rocky Mount, NC 27804-2520 2020-08-20
1275145658 Next Level Counseling, Pllc Community/Behavioral Health Tele-therapy Only, Cary, NC 27511 2020-08-18
1023628872 Jonathan Mccrary Community/Behavioral Health 5745 Bramblegate Rd Unit A, Greensboro, NC 27409-3019 2020-08-06
1841809746 Ryan's Place, LLC Community/Behavioral Health 6000 Fairview Rd Ste 1259, Charlotte, NC 28210-2224 2020-07-27
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Competitor

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City KENANSVILLE
Zip Code 28349

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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