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JACKSONVILLE FAMILY MEDICAL CENTER PLLC NPI 1205020476


NPI Information

NPI: 1205020476
Provider Name: JACKSONVILLE FAMILY MEDICAL CENTER, PLLC
Classification: Clinic/Center - 261QF0050X
Entity Type: Organization

Specialization: Family Planning, Non-Surgical

Address:
2587 HENDERSON DR
JACKSONVILLE, NC
ZIP 28546
Phone: (910) 938-3200
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JACKSONVILLE FAMILY MEDICAL CENTER, PLLC is a family planning and non-surgical clinic center in Jacksonville, NC. The provider is an entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives. JACKSONVILLE FAMILY MEDICAL CENTER, PLLC NPI is 1205020476. The provider is registered as an organization entity type.

The provider's business location address is:

2587 HENDERSON DR
JACKSONVILLE, NC
ZIP 28546-253
Phone: (910) 938-3200
Fax: (910) 938-3043

The provider's authorized official is Verleta R Thomas .
The authorized official title is Manager and has the following contact phone number (910) 938-3200.

The enumeration date for this NPI number is 8/30/2007 and was last updated on 8/30/2007.


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
1261QF0050XClinic/CenterFamily Planning, Non-Surgical36058NORTH CAROLINAYes

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
1D75607OTHERNORTH CAROLINAUPIN
289011JHMEDICAIDNORTH CAROLINA

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: 5/5/2024

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