NPIMap

Organization Active NPI

County of Onslow

Doing business as Onslow County Health Dept

  • State or Local Public Health Clinic/Center
  • Jacksonville, NC
National Provider Identifier
1982743928
Registry record updated Oct 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
COUNTY OF ONSLOW
Doing business as
Onslow County Health Dept
Practice address
612 College St
Jacksonville, NC 28540-5311
Phone
(910) 347-2154
Fax
(910) 347-3166
NPI assigned
Feb 6, 2007
Reactivated
Jul 21, 2010
Last updated
Oct 29, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF ONSLOWAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 29, 2012

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

Authorized official

Name
Mr. David J McCole
Title
Finance Officer
Phone
(910) 455-3404

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Community Health Clinic/Center 261QC1500X NU
Non-Surgical Family Planning Clinic/Center 261QF0050X NU
Medical Specialty Clinic/Center 261QM2500X NU
State or Local Public Health Clinic/Center 261QP0905X NU Primary
Primary Care Clinic/Center 261QP2300X NU
Clinical Medical Laboratory 291U00000X 34D0989962 NC
Clinical Medical Laboratory 291U00000X 34D0865177 NC
Registered Dietitian 133V00000X NU
Clinic Pharmacy 3336C0002X 04173 NC

Addresses

Primary practice location

612 College St
Jacksonville, NC 28540-5311

Mailing address

328 New Bridge St
Jacksonville, NC 28540-4756
Phone (910) 455-3404

Other identifiers 2

IdentifierTypeStateIssuer
07172OtherBLUE CROSS BLUE SHIELD
3404367MedicaidNC

Other names 1

  • Onslow County Health Dept Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031229000841 NC Part B Supplier - Clinic/Group Practice 1355249343 Receives reassigned benefits from 6 practitioners
2 other NPIs on this enrollment
Practice locations: Jacksonville, NC

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Onslow Co Health Dept6 organizations share this tax ID, including this one
Part of
Onslow Co Health Dept

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

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

Locations

612 College St
Jacksonville, NC 28540
Phone (910) 347-2154

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351468800000",
    "number": "1982743928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 NEW BRIDGE ST",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285404756",
            "telephone_number": "910-455-3404",
            "fax_number": "910-937-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 COLLEGE ST",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285405311",
            "telephone_number": "910-347-2154",
            "fax_number": "910-347-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF ONSLOW",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF ONSLOW",
        "enumeration_date": "2007-02-06",
        "last_updated": "2012-10-29",
        "deactivation_date": "2009-03-06",
        "reactivation_date": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "MCCOLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FINANCE OFFICER",
        "authorized_official_telephone_number": "910-455-3404",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NC",
            "license": "34D0989962",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NC",
            "license": "34D0865177",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NC",
            "license": "04173",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "07172",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404367",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Onslow County Health Dept",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.