AVNER ASSET LLC
NPI 1174295364
Clinic/Center - Military Outpatient Operational (Transportable) Component in Jacksonville, NC

Active since October 05, 2021
425 MYRTLEWOOD CIR, JACKSONVILLE, NC 28546(760) 805-6602 Get Directions Write a Review

NPPES record last updated: October 12, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 12, 2021, Oct 5, 2021 (2 updates tracked since 2021).

  • Organization
  • Clinic/Center
  • Military Outpatient Operational (Transpo...

About AVNER ASSET LLC

This page provides the complete NPI Profile along with additional information for Avner Asset Llc, a provider established in Jacksonville, North Carolina operating as a Clinic/center, focusing in military outpatient operational (transportable) component . The healthcare provider is registered in the NPI registry with number 1174295364 assigned on October 2021. The practitioner's primary taxonomy code is 261QM1102X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is John Doreus (General Manager)

NPI
1174295364 Verify this NPI
Provider Name
AVNER ASSET LLC
Entity Type
Organization
Location Address
425 MYRTLEWOOD CIR JACKSONVILLE, NC 28546
Location Phone
(760) 805-6602
Mailing Address
425 MYRTLEWOOD CIR JACKSONVILLE, NC 28546
Mailing Phone
(760) 805-6602
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-05-2021
Last Update Date
10-12-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Military Outpatient Operational (Transportable) Component

Taxonomy Code
261QM1102X
Type
Ambulatory Health Care Facilities
Taxonomy 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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN DOREUS

Authorized Official Title
GENERAL MANAGER
Authorized Official Phone
(760) 805-6602

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
L17000152385OTHER (01)FLFL DEPT OF STATE
D620-460-78-067-0OTHER (01)FLFL DMV

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Emergency Medical Technician, Paramedic
425 MYRTLEWOOD CIR
JACKSONVILLE, NC 28546

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174295364, enumerated as an "organization" on October 05, 2021.

The provider is located at 425 MYRTLEWOOD CIR JACKSONVILLE, NC 28546 and the phone number is (760) 805-6602.

Clinic/Center with taxonomy code 261QM1102X and a focus in Military Outpatient Operational (Transportable) Component.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.