Avner Asset Llc, NPI 1174295364
Military Outpatient Operational (Transportable) Component Clinic/Center in Jacksonville, NC, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1174295364
NPI Entity Type Organization
Provider Name Avner Asset Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 425 Myrtlewood Cir, Jacksonville, NC, US
Provider Mailing Address 425 Myrtlewood Cir, Jacksonville, NC, US, 285467411
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name John Doreus
Official Position GENERAL MANAGER
Phone 760-805-6602

Primary Taxonomy

Taxonomy Code

261QM1102X

Taxonomy Name Military Outpatient Operational (Transportable) Component Clinic/Center
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

Description "Non-fixed" facilities or distinct parts of a "non-fixed" facility, providing outpatient medical and dental services, primarily intended for DoD active duty. The entity is funded with other than Defense Health Program funding. Non-DoD active duty may receive services from this entity. "Non-fixed" facilities are generally deployed DoD health care activities, not providing services on or in association with a DoD fort or base. "Non-fixed" facilities include outpatient services furnished onboard ships. "Non-fixed" facilities also include deployed clinics. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.

Business Address

Avner Asset Llc
425 Myrtlewood Cir

Jacksonville, NC, US

Phone: 760-805-6602

Mailing Address

Avner Asset Llc
425 Myrtlewood Cir
Jacksonville, NC, US
ZIP 285467411
Phone: 760-805-6602

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
D620-460-78-067-0 FL FL DMV 01
L17000152385 FL FL DEPT OF STATE 01

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