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HEALTHSOURCE OF WEST COLUMBIA NPI 1134572258


NPI Information

NPI: 1134572258
Provider Name: HEALTHSOURCE OF WEST COLUMBIA
Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 42D2258603

Address:
2427 FISH HATCHERY RD
WEST COLUMBIA, SC
ZIP 29172
Phone: (803) 939-0785
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HEALTHSOURCE OF WEST COLUMBIA is a chiropractor in West Columbia, SC. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. HEALTHSOURCE OF WEST COLUMBIA NPI is 1134572258. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2427 FISH HATCHERY RD
WEST COLUMBIA, SC
ZIP 29172-093
Phone: (803) 939-0785

The provider's authorized official is Greg Schmitz .
The authorized official title is Credentialing Supervisor and has the following contact phone number (440) 653-5973.

The CLIA number assigned to this NPI record is 42D2258603 - other - onsite health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/14/2016 and was last updated on 7/14/2016.


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
1111N00000XChiropractorYes

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

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.