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NPI Code Detail

MEDICARE: COUNTY OF ONSLOW

MEDICARE: COUNTY OF ONSLOW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QC1500XCommunity Health Clinic/Center
2261QP0905XState or Local Public Health Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
107172OTHERBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407995442
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNTY OF ONSLOW
Provider Business Mailing Address
First Line : 328 NEW BRIDGE ST
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28540-4756
Country : US
Telephone Number : 910-455-3404
Fax Number : 910-937-1594
Provider Business Practice Location Address
First Line : 612 COLLEGE ST
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28540-5311
Country : US
Telephone Number : 910-347-2154
Fax Number : 910-347-3165
Authorized Official
Title or Position : FINANCE OFFICER
Name : MR. DAVID J MCCOLE
Credential :
Telephone Number : 910-455-3404
Provider Enumeration Date : 02/06/2007
Last Update Date : 10/29/2012

Similar Medicare Providers

1780657692 — DONNA SUE HOWARD CNM
Practice Location Address:
612 COLLEGE ST
JACKSONVILLE, NC
28540-5311
Practice Phone: 910-347-2154
Practice Fax:
1891796561 — PAUL F WILLIAMS MD
Practice Location Address:
612 COLLEGE ST
JACKSONVILLE, NC
28540-5311
Practice Phone: 910-347-2154
Practice Fax: 910-347-3165
1942378096 — MS. JANE LOUISE ROGERS RN, NP-OGNP
Practice Location Address:
612 COLLEGE ST
JACKSONVILLE, NC
28540-5311
Practice Phone: 910-347-2154
Practice Fax: 910-347-0728
1801964978 — MRS. JACKALYN LEE MITCHELL RN, OGNP
Practice Location Address:
612 COLLEGE ST
JACKSONVILLE, NC
28540-5311
Practice Phone: 910-347-2154
Practice Fax: 910-347-0728
1477692606 — COUNTY OF ONSLOW
Practice Location Address:
612 COLLEGE ST
JACKSONVILLE, NC
28540-5311
Practice Phone: 910-347-2154
Practice Fax: 910-347-3165
1982743928 — COUNTY OF ONSLOW
Practice Location Address:
612 COLLEGE ST
JACKSONVILLE, NC
28540-5311
Practice Phone: 910-347-2154
Practice Fax: 910-347-3166

Directions to “COUNTY OF ONSLOW ” Practice Location

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