Mid-State Health Systems, Inc
NPI 1477634319ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Fayetteville, NC
Intermediate Care Facility, Intellectual Disabilities in Fayetteville, North Carolina, registered in NPPES in October 2006. The authorized official on file is Sera W. Gilmore, Administrator.
Overview
| NPI | 1477634319 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 18, 2006 |
| Last updated in NPPES | Sep 13, 2026 |
| Certified by provider | Sep 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | MHL-026-054 | NC |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — | — |
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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