PALMETTO HEATLH NPI 1013041367

NPI Information

NPI: 1013041367
Provider Name: PALMETTO HEATLH

Doing Business As: PALMETTO HEALTH COULMBIA CRNA SERVICES

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
3301 HARDEN ST EXT 5 MEDICAL PARK
PALMETTO HEALTH CRNA RICHLAND
COULMBIA, SC
ZIP 29203
Phone: (803) 296-2548
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PALMETTO HEATLH is a multi-specialty clinic center in Coulmbia, SC. PALMETTO HEATLH NPI is 1013041367. The provider is registered as an organization entity type.
The provider Is Doing Business As Palmetto Health Coulmbia Crna Services.

The provider's business location address is:

3301 HARDEN ST EXT 5 MEDICAL PARK
PALMETTO HEALTH CRNA RICHLAND
COULMBIA, SC
ZIP 29203-813
Phone: (803) 296-2548
Fax: (803) 296-2548

The provider's authorized official is Willie P Brown .
The authorized official title is Director Of Patient Accounts and has the following contact phone number (803) 296-2342.

The CLIA number assigned to this NPI record is 42D2124937 - other - research site in health c with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/16/2007 and was last updated on 10/11/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty		SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	SUFFIX 008	OTHER	SOUTH CAROLINA	BCBS CRNA RICHLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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