NPIMap

Organization Active NPI

Onslow Memorial Hospital Inc

Doing business as Onslow Memorial Hospital

  • General Acute Care Hospital
  • Jacksonville, NC
National Provider Identifier
1679535496
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H0048 Issued in NC
Legal business name
ONSLOW MEMORIAL HOSPITAL INC
Doing business as
Onslow Memorial Hospital
Practice address
317 Western Blvd
Jacksonville, NC 28546-6338
Phone
(910) 577-2345
NPI assigned
Apr 5, 2006
Last updated
Apr 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carl Biber
Title
Chief Financial Officer
Phone
(910) 577-2969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H0048 NC Primary

Addresses

Primary practice location

317 Western Blvd
Jacksonville, NC 28546-6338

Mailing address

200 Memorial Dr
Jacksonville, NC 28546-6332
Phone (910) 577-4703

Other identifiers 6

IdentifierTypeStateIssuer
3400042MedicaidNC
0760COtherNCBCBS
3406870MedicaidNC
6907604MedicaidNC
00007OtherNCBLUE CROSS
2616038OtherNCANESTHESA

Other names 1

  • ONSLOW MEMORIAL HOSPITAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, KY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040119000016 NC Part B Supplier - Clinic/Group Practice 1456252899 Receives reassigned benefits from 139 practitioners
Practice locations: Jacksonville, NC
O20040706000751 NC Part A Provider - Hospital 1456252899 Practice locations: Jacksonville, NC
O20260113003530 KY Part B Supplier - Clinic/Group Practice 1456252899 Receives reassigned benefits from 1 practitioner
Practice locations: Lexington, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679535496. Details of each certification follow.

Hospital certification: CCN 340042

Legal name
ONSLOW MEMORIAL HOSPITAL INC
Doing business as
ONSLOW MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Aug 14, 1974
Last certification
Mar 11, 1997
Beds
150
Ownership / control type
Hospital district or authority
Organization structure
CorporationNon-profit
Enrollment address
317 Western Blvd
Jacksonville, NC 28541-1358
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Onslow Memorial HospitalCCN 340042 · All quality measures
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

174 Memorial Ct
Jacksonville, NC 28546
Phone (910) 577-2536

200 Memorial Dr
Jacksonville, NC 28546
Phone (910) 577-2900

237 White St
#2
Jacksonville, NC 28546
Phone (910) 577-4977

245 Memorial Dr
Jacksonville, NC 28546
Phone (910) 353-4333

314 Western Blvd
Jacksonville, NC 28546

3152 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2372

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Joel Dexter Churchwell Individual Corporate DirectorBoard Member Sep 1, 2020
Charles Ashley Gibbs Individual Corporate DirectorBoard Member Oct 31, 2019
Stephen Allen Blackburn Individual Corporate DirectorBoard of Directors Oct 1, 2023
Steven Neil Scarborough Individual Corporate DirectorSecretary/Treasurer Jan 1, 2018
Julia Thornton Collins Individual Corporate DirectorBoard Member Oct 1, 2021
Samuel Patrick Alford Individual Corporate DirectorVice Chair Oct 1, 2017
John a Kohler Individual Corporate OfficerCmo Aug 14, 2023
Michael James Elder Individual Corporate DirectorBoard Member Mar 3, 2025
University of North Carolina Health Care System Organization, Morrisville, NC Non-profit, Chain home office Operational/Managerial Control Jan 1, 2019
Virginia R Albano Individual Corporate DirectorBoard Member Oct 25, 2018
Jeffrey Thomas Clark Individual Corporate DirectorBoard Member Jul 1, 2025
Crystal Faith Bryan Individual Corporate OfficerSVP/Cno Dec 28, 2025
Pamela Trott Morton Individual Corporate DirectorBoard Member Jul 1, 2025
Billy Ray Crane Individual Corporate DirectorBoard Member Jan 5, 2026
Jacksonville Hospital Inc Organization, Jacksonville, NC Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 29, 1997
Carl E Biber Individual Corporate OfficerChief Fiinancial Officer Sep 28, 2019
Penney Burlingame Deal Individual Corporate OfficerPresident & Ceo Jul 1, 2016 100%
Operational/Managerial ControlPresident and Ceo Jul 1, 2016
John Lee Davis Individual Corporate DirectorBoard Member Jul 1, 2025
Ralph H Taylor Individual Corporate DirectorBoard of Directors Sep 1, 2020

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 43

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 43

Practitioners & affiliated clinicians

Practitioners 211

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 211

Affiliated clinicians 449

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 449

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1679535496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEMORIAL DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466332",
            "telephone_number": "910-577-4703",
            "fax_number": "910-577-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 WESTERN BLVD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466338",
            "telephone_number": "910-577-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONSLOW MEMORIAL HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "BIBER",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "910-577-2969"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NC",
            "license": "H0048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3400042",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0760C",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406870",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6907604",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00007",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANESTHESA",
            "identifier": "2616038",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ONSLOW MEMORIAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.