Active NPI
Medac Health Services, PA
Doing business as Medac Urgent Care
- Emergency Medicine Physician
- Wilmington, NC
National Provider Identifier
1578746236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- MEDAC HEALTH SERVICES, PA
- Doing business as
- Medac Urgent Care
- Practice address
- 1442 Military Cutoff Rd
Wilmington, NC 28403-3605 - Phone
- (910) 256-6088
- Fax
- (910) 256-6089
- NPI assigned
- Dec 17, 2007
- Organization subpart
- Yes
- Parent organization
- MEDAC HEALTH SERVICES, PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Maloney
- Title
- Ceo
- Phone
- (616) 656-2750
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary | ||
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
1442 Military Cutoff Rd
Wilmington, NC 28403-3605
Mailing address
216 Centerview Dr Ste 100
Brentwood, TN 37027-3226
Phone (910) 791-0075
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07651 | Other | NC | BCBS |
| CC2877 | Other | NC | RAILROAD MEDICARE |
Other names 1
- Medac Urgent Care
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D0914474 | Medac Health Services, PD Dba Medac Military | Certificate of waiver | Apr 30, 2028 |
National Provider Directory
National Provider Directory- Part of
- Medac Ecep
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
dba Medac Urgent Care
- Emergency Medicine Physician
- Wilmington, NC
- NPI 1356345920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729468800000",
"number": "1578746236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 CENTERVIEW DR STE 100",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370273226",
"telephone_number": "910-791-0075",
"fax_number": "615-656-2745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1442 MILITARY CUTOFF RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284033605",
"telephone_number": "910-256-6088",
"fax_number": "910-256-6089"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDAC HEALTH SERVICES, PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEDAC HEALTH SERVICES, PA",
"enumeration_date": "2007-12-17",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A",
"authorized_official_last_name": "MALONEY",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "616-656-2750"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "07651",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CC2877",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medac Urgent Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wilmington, NC
- Med First Immediate Care & Family Practice, PA
- Medac Health Services, PA (Medac Urgent Care)
- Medac Health Services, PA (Medac Urgent Care)
- Medac Health Services, PA (Medac Urgent Care)
- Medac Health Services, PA (Medac Urgent Care)
- Gracie L Medcalfe
- Medcalls Urgent Care PLLC
- Medical Center Home Care LLC (Medical Center Pharmacy)
- Medical Center Pharmacy of Wilmington, Inc.
- Medical Center Pharmacy of Wilmington, LLC (Medical Center Specialty Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.