ONSLOW AMBULATORY SERVICES INC NPI 1063505949

NPI Information

NPI: 1063505949
Provider Name: ONSLOW AMBULATORY SERVICES, INC
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
Doing Business As: INTERNAL MEDICINE AND PRIMARY CARE
CLIA Number: 34D0941351
Address: 31 OFFICE PARK DR
JACKSONVILLE, NC
ZIP 28546
Phone: (910) 346-5016

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NPI Details

ONSLOW AMBULATORY SERVICES, INC is a primary care clinic center in Jacksonville, NC. ONSLOW AMBULATORY SERVICES, INC NPI is 1063505949. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Internal Medicine And Primary Care.

The provider's business location address is:

31 OFFICE PARK DR
JACKSONVILLE, NC
ZIP 28546-219
Phone: (910) 346-5016
Fax: (910) 577-4987

The provider's authorized official is Libby Scott .
The authorized official title is Practice Director and has the following contact phone number (910) 577-2533.

The CLIA number assigned to this NPI record is 34D0941351 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 3/29/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine				No
2	261QP2300X	Clinic/Center	Primary Care	AS0039	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	89013R6	MEDICAID	NORTH CAROLINA
2	013R6	OTHER	NORTH CAROLINA	BC VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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