CMS-1500 Box 24J / 33a • NPI
1841248622
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
261QP0905X
Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
Box 32 Service Location & ZIP+4
25 COURTHOUSE DR. NE, BLG A, BOLIVIA, NC, 28422-0009
✓ 9-Digit EDI 837 ZIP+4 (28422-0009)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1841248622 (COUNTY OF BRUNSWICK) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1841248622 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | COUNTY OF BRUNSWICK |
| Plain-English Specialty | Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: 261QP0905X (Clinic/Center, Public Health, State or Local) |
| Certifying / Licensing Body | Accreditation Association for Ambulatory Health Care (AAAHC) / CMS |
| Practice Location Address | 25 COURTHOUSE DR. NE, BLG A, BOLIVIA, NC, 28422-0009 |
| Practice Telephone / Fax | Tel: (910) 253-2250 | Fax: (910) 253-2370 |
| Administrative Mailing Address | PO BOX 9, BOLIVIA, NC, 28422-0009 |
| Enumeration & Last Sync | Enumerated: 2006-05-04 | CMS Record Updated: 2024-02-12 |
| Authorized Official | BARBARA JACKSON (Management Support Director) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (261QP0905X)
What Does Taxonomy Code 261QP0905X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QP0905X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (COUNTY OF BRUNSWICK)
Typical CPT / Diagnostic Procedures:- Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
- Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures
- Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
251B00000X — Case ManagementPlain English: Licensed & Credentialed Case Management | State: NC | License: Verified | Primary: Secondary |
261QC1500X — Clinic/Center, Community HealthPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: NC | License: Verified | Primary: Secondary |
261QF0050X — Clinic/Center, Family Planning, Non-SurgicalPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: NC | License: Verified | Primary: Secondary |
261QP2300X — Clinic/Center, Primary CarePlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: NC | License: Verified | Primary: Secondary |
291U00000X — Clinical Medical LaboratoryPlain English: CLIA-Certified Diagnostic Medical & Pathology Laboratory | State: NC | License: 34D0245906 | Primary: Secondary |
3336C0002X — Pharmacy, Clinic PharmacyPlain English: Licensed & Credentialed Suppliers — Pharmacy, Clinic Pharmacy | State: NC | License: 04210 | Primary: Secondary |
261QP0905X — Clinic/Center, Public Health, State or LocalPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: NC | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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