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SPARTANBURG MEDICAL CENTER NPI 1114017688


NPI Information

NPI: 1114017688
Provider Name: SPARTANBURG MEDICAL CENTER

Doing Business As: THAT SPECIAL LOOK

Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
380 SERPENTINE DR
SUITE 109
SPARTANBURG, SC
ZIP 29303
Phone: (864) 560-7080
Get Directions

SPARTANBURG MEDICAL CENTER is a customized equipment durable medical equipment medical supplies in Spartanburg, SC. SPARTANBURG MEDICAL CENTER NPI is 1114017688. The provider is registered as an organization entity type.
The provider Is Doing Business As That Special Look.

The provider's business location address is:

380 SERPENTINE DR
SUITE 109
SPARTANBURG, SC
ZIP 29303-066
Phone: (864) 560-7080
Fax: (864) 560-7077

The provider's authorized official is Kenneth Meinke .
The authorized official title is Chief Financial Officer and has the following contact phone number (864) 560-6000.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 9/28/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DME865MEDICAIDSOUTH CAROLINA
20690820002MEDICARE NSCSOUTH CAROLINA
30690820002MEDICARE PINSOUTH 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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.