Organization
WILMINGTON ASC LLC
Active
Other names
Wilmington Health Ambulatory Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA KEARNS (CFO)
(910) 341-3331
Entity
Organization
Contact information
Practice address
1305 GLEN MEADE RD, WILMINGTON, NC 28401-7369
(910) 815-6100
(910) 899-9191
Mailing address
1202 MEDICAL CENTER DR, WILMINGTON, NC 28401-7394
(910) 763-2072
(910) 763-1586
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
73991
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00645
BCBS NC
NC
05
—
3409864
—
NC
01
—
490002975
RAILROAD MEDICARE
NC
Enumeration date
09/25/2007
Last updated
06/16/2022
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