# WILMINGTON ASC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wilmington Health Ambulatory Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548456478
- **Authorized official:** PAMELA KEARNS (CFO)
- **Authorized official phone:** (910) 341-3331

## Contact information

- **Practice address:** 1305 GLEN MEADE RD, WILMINGTON, NC 28401-7369
- **Practice address phone:** (910) 815-6100
- **Practice address fax:** (910) 899-9191
- **Mailing address:** 1202 MEDICAL CENTER DR, WILMINGTON, NC 28401-7394
- **Mailing address phone:** (910) 763-2072
- **Mailing address fax:** (910) 763-1586

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 73991 | NC | Yes |

## Other

- **Enumeration date:** 09/25/2007
- **Last updated:** 06/16/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00645 | BCBS NC | NC |
| 05 | — | 3409864 | — | NC |
| 01 | — | 490002975 | RAILROAD MEDICARE | NC |