AVNER ASSET LLC – NPI #1174295364
Clinic/Center

"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.

AVNER ASSET LLC is an AHC clinic located in JACKSONVILLE, NC. NPPES has assigned the NPI number 1174295364 to AVNER ASSET LLC on October 05, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM1102X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Military Outpatient Operational (Transportable) Component

The NPI profile was previously updated about 5 years ago on Oct 12, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AVNER ASSET LLC below.

NPI Profile for
AVNER ASSET LLC

NPI Number
1174295364
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AVNER ASSET LLC
Primary location
425 MYRTLEWOOD CIR
JACKSONVILLE, NC 28546-7411
Phone: (760) 805-6602 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOHN DOREUS
GENERAL MANAGER
Phone: (760) 805-6602
Updated
Certification Date
Oct 12, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for AVNER ASSET LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERFL DEPT OF STATEFLL17000152385
OTHERFL DMVFLD620-460-78-067-0
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1102X
- Clinic/Center / Military Outpatient Operational (Transportable) Component (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.