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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
1251B00000XCase Management Agency
2261QC1500XCommunity Health Clinic/Center
3261QF0050XNon-Surgical Family Planning Clinic/Center
4261QM2500XMedical Specialty Clinic/Center
5133V00000XRegistered Dietitian
6261QP2300XPrimary Care Clinic/Center
7291U00000XClinical Medical Laboratory34D0989962NC
8291U00000XClinical Medical Laboratory34D0865177NC
93336C0002XClinic Pharmacy04173NC
10261QP0905XState or Local Public Health Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1020GMOTHERBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
307172OTHERBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1477692606
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 : 02/05/2007
Last Update Date : 10/29/2012

Similar Medicare Providers

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
1407995442 — 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
1184824328 — DR. SUZANNE STELMACH M.D.
Practice Location Address:
612 COLLEGE ST
JACKSONVILLE, NC
28540-5311
Practice Phone: 910-347-2154
Practice Fax: 910-347-3165

Directions to “COUNTY OF ONSLOW ” Practice Location

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