Provider Demographics
NPI:1902077936
Name:ONSLOW MEMORIAL HOSPITAL, INC.
Entity Type:Organization
Organization Name:ONSLOW MEMORIAL HOSPITAL, INC.
Other - Org Name:HOSPITAL PATHOLOGY GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROY
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-577-2985
Mailing Address - Street 1:3020 SHRINE RD
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31520-4743
Mailing Address - Country:US
Mailing Address - Phone:912-267-0533
Mailing Address - Fax:912-267-7313
Practice Address - Street 1:317 WESTERN BLVD
Practice Address - Street 2:ATTN: ROBIN SHEPARD, BILLING SUPERVISOR
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-6338
Practice Address - Country:US
Practice Address - Phone:910-577-4772
Practice Address - Fax:910-577-4706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Single Specialty