Provider Demographics
NPI:1679535496
Name:ONSLOW MEMORIAL HOSPITAL INC
Entity type:Organization
Organization Name:ONSLOW MEMORIAL HOSPITAL INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
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 1:241 NEW RIVER DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28540-5928
Mailing Address - Country:US
Mailing Address - Phone:910-577-4740
Mailing Address - Fax:910-577-2575
Practice Address - Street 1:317 WESTERN BLVD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-6338
Practice Address - Country:US
Practice Address - Phone:910-577-2345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-05
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCH0048282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC00007OtherBLUE CROSS
NC3406870Medicaid
NC3400042Medicaid
NC0760COtherBCBS
NC6907604Medicaid
NC2616038OtherANESTHESA
NC3406870Medicaid
NC00007OtherBLUE CROSS
NC=========OtherALL OTHER
NC0760COtherBCBS
NC2616038OtherANESTHESA
NC6907604Medicaid