| Sos Inc | |
|
215 Memorial Drive Jacksonville NC 28545-6333 | |
| (910) 219-7938 | |
| (910) 353-1436 |
| Full Name | Sos Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 215 Memorial Drive, Jacksonville, North Carolina |
| Authorized Official Name and Position | Oliver Wendell Ford (PRESIDENT) |
| Authorized Official Contact | 9103472001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sos Inc 2 Dewitt St # 6 Jacksonville NC 28540-5649 Ph: (910) 347-2001 | Sos Inc 215 Memorial Drive Jacksonville NC 28545-6333 Ph: (910) 219-7938 |
| NPI Number | 1497896658 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 09/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497896658 | NPI | - | NPPES |
| 3418855 | Medicaid | NC | |
| 8301942 | Medicaid | NC | |
| 8301271 | Medicaid | NC | |
| 8301271B | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (North Carolina) | Primary |
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