RICHLAND COMMUNITY HEALTH CARE ASSOCIATION NPI 1013939529

NPI Information

NPI: 1013939529
Provider Name: RICHLAND COMMUNITY HEALTH CARE ASSOCIATION

Other Name: CAROLINA MEDICAL GROUP

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
3010 FARROW RD
SUITE 230
COLUMBIA, SC
ZIP 29203
Phone: (803) 799-1284
Get Directions

RICHLAND COMMUNITY HEALTH CARE ASSOCIATION is a federally qualified health center (fqhc) clinic center in Columbia, SC. RICHLAND COMMUNITY HEALTH CARE ASSOCIATION NPI is 1013939529. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Carolina Medical Group.

The provider's business location address is:

3010 FARROW RD
SUITE 230
COLUMBIA, SC
ZIP 29203-607
Phone: (803) 799-1284
Fax: (803) 799-8148

The provider's authorized official is Helen Bryson .
The authorized official title is Ceo and has the following contact phone number (803) 799-8407.

The enumeration date for this NPI number is 7/24/2006 and was last updated on 4/29/2010.

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	207R00000X	Internal Medicine				No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	20390	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	FQC030	MEDICAID	SOUTH CAROLINA
2	421892	MEDICARE OSCAR/CERTIFICATION	WISCONSIN
3	CBP006	MEDICAID	SOUTH CAROLINA
4	7131	MEDICARE PIN	SOUTH CAROLINA
5	7131	MEDICARE ID-TYPE UNSPECIFIED	SOUTH CAROLINA	LOCAL
6	FQC043	MEDICAID	SOUTH CAROLINA
7	GP4435	MEDICAID	SOUTH CAROLINA

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: 4/28/2024

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