1790748960 OMNI CLINIC PA

Exclusive Provider Organization

Active

Basic Information

Organization Name
OMNI CLINIC PA
Enumeration Date
April 10, 2006
Last Update
August 19, 2014
Authorized Official
MRS. TERESA BURKETT
OFFICE SUPERVISOR
Phone: (910) 219-4070

Practice Location

Address
22 OFFICE PARK DR
JACKSONVILLE, NC 285467325
Phone
(910) 219-4070
Fax
(910) 219-4071

Mailing Address

Address
PO BOX 12353
JACKSONVILLE, NC 285462353
Phone
(910) 219-4070
Fax
(910) 219-4071

Specialties & Taxonomies

Specialty Code Classification License State Primary
Exclusive Provider Organization
302F00000X Exclusive Provider Organization 9901455 NC Primary

Other Identifiers

Identifier Type State Issuer
5909266 05 NC N/A

Frequently Asked Questions

What is OMNI CLINIC PA's NPI number?
OMNI CLINIC PA's NPI number is 1790748960.
Which doctor has NPI number 1790748960?
The doctor with NPI number 1790748960 is OMNI CLINIC PA.
What is OMNI CLINIC PA's practice address?
OMNI CLINIC PA's practice address is 22 OFFICE PARK DR, JACKSONVILLE, NC, 285467325.
Which doctor practices at 22 OFFICE PARK DR, JACKSONVILLE, NC, 285467325?
OMNI CLINIC PA practices at 22 OFFICE PARK DR, JACKSONVILLE, NC, 285467325.
What is OMNI CLINIC PA's mailing address?
OMNI CLINIC PA's mailing address is PO BOX 12353, JACKSONVILLE, NC, 285462353.
What is OMNI CLINIC PA's phone number?
OMNI CLINIC PA's phone number is (910) 219-4070.
Who is (910) 219-4070?
(910) 219-4070 is the phone number for OMNI CLINIC PA.
What is OMNI CLINIC PA's specialty?
OMNI CLINIC PA's specialty is Exclusive Provider Organization.
What type of doctor is OMNI CLINIC PA?
OMNI CLINIC PA is a Exclusive Provider Organization.
Is OMNI CLINIC PA a Exclusive Provider Organization?
Yes, OMNI CLINIC PA is a Exclusive Provider Organization.
Is OMNI CLINIC PA still practicing?
Yes, OMNI CLINIC PA is currently practicing.
Is OMNI CLINIC PA accepting new patients?
OMNI CLINIC PA may be accepting new patients. Please call their office at (910) 219-4070 to inquire about availability.
Is NPI 1790748960 still active?
Yes, NPI 1790748960 is currently active.
Where does OMNI CLINIC PA practice?
OMNI CLINIC PA practices in JACKSONVILLE, NC.