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Mid-State Health Systems, Inc

Intellectual Disabilities Intermediate Care Facility in Fayetteville, NC · enumerated 2006 · authorized official Sera Gilmore, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477634319

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Mid-State Health Systems, Inc
Other name <Unavail>
Practice address 4309 N.C. Hwy 87 S, Fayetteville, NC, 28306
Fax (910) 484-1315
Enumeration date Oct 18, 2006
Last updated in NPPES Dec 15, 2015

Taxonomy & classification

315P00000X Intellectual Disabilities Intermediate Care Facility Nursing & Custodial Care Facilities · License MHL-026-054 (NC) Primary

Authorized official

Name Sera Gilmore
Title Administrator

Other identifiers

Identifier Type State Issuer
3406591 Medicaid NC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Mid-State Health Systems, Inc?
Mid-State Health Systems, Inc is registered in NPPES as a Intellectual Disabilities Intermediate Care Facility (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-12-15.