Mid-State Health Systems, Inc
NPI 1083056782ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Fayetteville, NC
Intermediate Care Facility, Intellectual Disabilities in Fayetteville, North Carolina, registered in NPPES in July 2013. The authorized official on file is Sera Gilmore, Administrator.
Overview
| NPI | 1083056782 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 23, 2013 |
| Last updated in NPPES | Dec 7, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | MHL-026-944 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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