CAROLINA BONE & JOINT SURGERY CENTER NPI 1316924632

NPI Information

NPI: 1316924632
Provider Name: CAROLINA BONE & JOINT SURGERY CENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 42D1017522

Address:
101 SURGEONS DR
MYRTLE BEACH, SC
ZIP 29579
Phone: (843) 236-6633
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CAROLINA BONE & JOINT SURGERY CENTER is an ambulatory surgical clinic center in Myrtle Beach, SC. CAROLINA BONE & JOINT SURGERY CENTER NPI is 1316924632. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

101 SURGEONS DR
MYRTLE BEACH, SC
ZIP 29579-198
Phone: (843) 236-6633
Fax: (843) 903-6331

The provider's authorized official is Pamela Skipper .
The authorized official title is Center Director and has the following contact phone number (843) 903-6320.

The CLIA number assigned to this NPI record is 42D1017522 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/28/2005 and was last updated on 6/18/2015.

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	207X00000X	Orthopaedic Surgery		ASF077	SOUTH CAROLINA	No
2	261QA1903X	Clinic/Center	Ambulatory Surgical	ASF077	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	ASC052	MEDICAID	SOUTH CAROLINA
2	Q333980001	MEDICARE ID-TYPE UNSPECIFIED
3	P00101637	MEDICARE ID-TYPE UNSPECIFIED		RAILROAD

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

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