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COLUMBIA HEART CLINIC PA NPI 1245266139


NPI Information

NPI: 1245266139
Provider Name: COLUMBIA HEART CLINIC, PA

Doing Business As: COLUMBIA HEART CLINIC

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
8 RICHLAND MEDICAL PARK DRIVE.
SUITE 300
COLUMBIA, SC
ZIP 29203
Phone: (803) 744-8426
Get Directions

COLUMBIA HEART CLINIC, PA is a cardiovascular disease internal medicine in Columbia, SC. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. COLUMBIA HEART CLINIC, PA NPI is 1245266139. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Columbia Heart Clinic.

The provider's business location address is:

8 RICHLAND MEDICAL PARK DRIVE.
SUITE 300
COLUMBIA, SC
ZIP 29203
Phone: (803) 744-8426
Fax: (803) 744-4731

The provider's authorized official is Lora Haver .
The authorized official title is Credentialing Coordinator and has the following contact phone number (803) 744-8426.

The enumeration date for this NPI number is 6/23/2006 and was last updated on 12/4/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseYes
2207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyNo
3207RI0011XInternal MedicineInterventional CardiologyNo
4207UN0901XNuclear MedicineNuclear CardiologyNo
5363LA2100XNurse PractitionerAcute CareNo
6207RS0012XInternal MedicineSleep MedicineNo

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
1GP1908MEDICAIDSOUTH CAROLINA
25665MEDICARE ID-TYPE UNSPECIFIEDSOUTH 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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