Provider Demographics
NPI:1912282021
Name:MED-STAT, INC.
Entity Type:Organization
Organization Name:MED-STAT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:F
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-652-2001
Mailing Address - Street 1:1331 VETERANS DRIVE EXT
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-7179
Mailing Address - Country:US
Mailing Address - Phone:828-652-2001
Mailing Address - Fax:828-652-1961
Practice Address - Street 1:1331 VETERANS DRIVE EXT
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752-7179
Practice Address - Country:US
Practice Address - Phone:828-652-2001
Practice Address - Fax:828-652-1961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-20
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNP1990251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care