Provider Demographics
NPI: | 1518207216 |
---|---|
Name: | ONSLOW AMBULATORY SERVICES, INC. |
Entity type: | Organization |
Organization Name: | ONSLOW AMBULATORY SERVICES, INC. |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | CHIEF FINANCIAL OFFICER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | CARL |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | BIBER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 910-577-2969 |
Mailing Address - Street 1: | 200 MEMORIAL DR |
Mailing Address - Street 2: | |
Mailing Address - City: | JACKSONVILLE |
Mailing Address - State: | NC |
Mailing Address - Zip Code: | 28546-6332 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 910-577-4703 |
Mailing Address - Fax: | 910-577-2575 |
Practice Address - Street 1: | 237 WHITE ST |
Practice Address - Street 2: | SUITE 1 |
Practice Address - City: | JACKSONVILLE |
Practice Address - State: | NC |
Practice Address - Zip Code: | 28546-6351 |
Practice Address - Country: | US |
Practice Address - Phone: | 910-577-4968 |
Practice Address - Fax: | 910-577-2916 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2013-02-18 |
Last Update Date: | 2025-04-07 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease | Group - Multi-Specialty |