Onslow Memorial Hospital Inc
Organization Active NPI General Acute Care Hospital · Jacksonville, NC
NPI 1679535496 · NPPES record last updated Apr 7, 2025
Key facts
- NPI
- 1679535496
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- H0048 (NC)
- Legal business name
- ONSLOW MEMORIAL HOSPITAL INC
- Practice address
- 317 Western Blvd
Jacksonville, NC 28546-6338 - Phone
- (910) 577-2345
- NPI assigned
- Apr 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Carl Biber
- Title
- Chief Financial Officer
- Phone
- (910) 577-2969
Owners & managing parties with NPI records 4
-
John Aaron Kohler Sr., MD, MBA
Other NPIs with the same Medicare PAC ID 1
Member organizations 2
Facilities with the same owner 43
Practitioners 213
-
Ravi Agarwala, MD
-
Anuradha Arcot, M.D.
-
Kristina Maria Catania, M.D.
-
Anil George, M.D.
-
Neil Duane Jones, MD
-
Jaime H Kapur, M.D.
-
Peter J Kragel, MD
-
Elena McNeill, MD
-
Shyamal K Mitra, MD
-
Brandi Moore, NP
-
Ryan John Schutt, D.O.
-
Andrew Wilson Wang, M.D.
-
Karolina Wise, AGACNP-BC
-
Nicole Blair, MD
-
Numthip Chitravas, M.D.
-
Faustino Falgui Estella, M.D.
-
Sophie Claire Feller, M.D.
Affiliated clinicians 449
-
Daniel J Abraham, D.O.
-
Andrew James Adamson, M.D.
-
Ravi Agarwala, MD
-
David Huston Allgood, PA-C
-
Lauren Ambrose, P.A.
-
Brett Ambroson, MD
-
Gregory Thomas Anderson, NP-C
-
Chad Thomas Andicochea, D.O.
-
Samuel Archino Jr., FNP-BC
-
Anuradha Arcot, M.D.
-
Narender D Arcot, MD
-
Sam Armani, MD
-
Barton Stevenson Arthur, M.D.
-
Shonda Michelle Asaad, M.D.
-
Leah Newton Ashe, FNP
-
Savanna Axelberg, FNP-C
-
Ashley Grogan Bacheller, PA-C
-
Stephanie Trent Ballard, PHYSICIAN ASSISTANT
-
Daina E Barber, P.A.-C.
Medicare Care Compare: Hospital
- Listed as
- Onslow Memorial Hospital
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Type
- Acute Care Hospitals
- Ownership
- Government - Hospital District or Authority
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in NC, KY
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
- Corporation · Non-profit
- Enrollment address
- 317 Western Blvd
Jacksonville, NC 28541-1358 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 19
| Name | Role | Since | Share |
|---|---|---|---|
| Joel Dexter Churchwell |
Corporate Director |
Sep 1, 2020 | |
| Charles Ashley Gibbs |
Corporate Director |
Oct 31, 2019 | |
| Stephen Allen Blackburn |
Corporate Director |
Oct 1, 2023 | |
| Steven Neil Scarborough |
Corporate Director |
Jan 1, 2018 | |
| Julia Thornton Collins |
Corporate Director |
Oct 1, 2021 | |
| Samuel Patrick Alford |
Corporate Director |
Oct 1, 2017 | |
| John a Kohler |
Corporate Officer |
Aug 14, 2023 | |
| Michael James Elder |
Corporate Director |
Mar 3, 2025 | |
| University of North Carolina Health Care System |
Operational/Managerial Control | Jan 1, 2019 | |
| Virginia R Albano |
Corporate Director |
Oct 25, 2018 | |
| Jeffrey Thomas Clark |
Corporate Director |
Jul 1, 2025 | |
| Crystal Faith Bryan |
Corporate Officer |
Dec 28, 2025 | |
| Pamela Trott Morton |
Corporate Director |
Jul 1, 2025 | |
| Billy Ray Crane |
Corporate Director |
Jan 5, 2026 | |
| Jacksonville Hospital Inc |
5% Or Greater Direct Ownership Interest | Jan 29, 1997 | |
| Carl E Biber |
Corporate Officer |
Sep 28, 2019 | |
| Penney Burlingame Deal |
Corporate Officer |
Jul 1, 2016 | 100% |
| Operational/Managerial Control |
Jul 1, 2016 | ||
| John Lee Davis |
Corporate Director |
Jul 1, 2025 | |
| Ralph H Taylor |
Corporate Director |
Sep 1, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Locations
174 Memorial Ct
Jacksonville, NC 28546
Phone (910) 577-2536
121 Memorial Dr
Jacksonville, NC 28546
Phone (910) 577-2690
237 White St
#2
Jacksonville, NC 28546
Phone (910) 577-4977
3152 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2372
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | H0048 | NC | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6907604 | Medicaid | NC | |
| 2616038 | Other | NC | ANESTHESA |
| 3400042 | Medicaid | NC | |
| 00007 | Other | NC | BLUE CROSS |
| 0760C | Other | NC | BCBS |
| 3406870 | Medicaid | NC |
Other names
- ONSLOW MEMORIAL HOSPITAL
Other providers in Jacksonville, NC
- Onslow County Partnership for Children
- Onslow County Schools
- Onslow Doctors Care Incorporated
- Onslow Health Associates PLLC
- Onslow Medical Specialties Clinic, PC
- Onslow Memorial Hospital, Inc.
- Onslow Memorial Hospital, Inc.
- Onslow Oncology Practice PC
- Onslow Ophthalmology, PA
- Onslow Pediatric Associates, P.a.
All providers in Jacksonville, NC · General Acute Care Hospital in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.