Organization
ONSLOW AMBULATORY SERVICES, INC
Active
Other names
SURGICARE OF JACKSONVILLE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ED PIPER (CEO)
(910) 577-4767
Entity
Organization
Contact information
Practice address
166 MEMORIAL CT, JACKSONVILLE, NC 28546-6322
(910) 353-9565
Mailing address
166 MEMORIAL CT, JACKSONVILLE, NC 28546-6322
(910) 353-9565
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AS0039
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00600
BCBS - FACILITY, ANESTHES
NC
01
—
00600A
NC TEACHERS- FAC, ANESTHE
NC
01
—
00600B
NC HEATH - FAC, ANESTHESI
NC
01
—
14575
MEDCOST - FAC, ANESTHESIA
NC
05
—
3409910
—
NC
05
—
8000288
—
NC
Enumeration date
10/03/2006
Last updated
08/22/2020
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