COLUMBIA ORAL HEALTH CLINIC NPI 1295942480

NPI Information

NPI: 1295942480
Provider Name: COLUMBIA ORAL HEALTH CLINIC
Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization
Address:
3425 MAIN ST
COLUMBIA, SC
ZIP 29203
Phone: (803) 799-9457
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COLUMBIA ORAL HEALTH CLINIC is a voluntary or charitable in Columbia, SC. COLUMBIA ORAL HEALTH CLINIC NPI is 1295942480. The provider is registered as an organization entity type.

The provider's business location address is:

3425 MAIN ST
COLUMBIA, SC
ZIP 29203-434
Phone: (803) 799-9457
Fax: (803) 799-9458

The provider's authorized official is Ralph Rynes .
The authorized official title is President and has the following contact phone number (803) 212-1773.

The enumeration date for this NPI number is 5/17/2007 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	251V00000X	Voluntary or Charitable			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	ZA9770	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: 11/14/2023

NPI Synchronization or Removal

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