MORPHIS PEDIATRIC GROUP OF LANCASTER P.A. NPI 1235209883

NPI Information

NPI: 1235209883
Provider Name: MORPHIS PEDIATRIC GROUP OF LANCASTER, P.A.
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 42D0944574

Address:
838 W MEETING ST STE A
LANCASTER, SC
ZIP 29720
Phone: (803) 416-5295
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MORPHIS PEDIATRIC GROUP OF LANCASTER, P.A. is a rural health clinic center in Lancaster, SC. MORPHIS PEDIATRIC GROUP OF LANCASTER, P.A. NPI is 1235209883. The provider is registered as an organization entity type.

The provider's business location address is:

838 W MEETING ST STE A
LANCASTER, SC
ZIP 29720-233
Phone: (803) 416-5295
Fax: (803) 416-5240

The provider's authorized official is Nancy L Brackett .
The authorized official title is Office Manager and has the following contact phone number (803) 416-5295.

The CLIA number assigned to this NPI record is 42D0944574 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 8/22/2020.

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	261QR1300X	Clinic/Center	Rural Health		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	GP2176	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: 5/5/2024

NPI Synchronization or Removal

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