SPARTANBURG REGIONAL HEALTHCARE SYSTEM NPI 1336111590

NPI Information

NPI: 1336111590
Provider Name: SPARTANBURG REGIONAL HEALTHCARE SYSTEM
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Organization

Specialization: Gerontology

Address:
120 HEYWOOD AVE
SUITE 300
SPARTANBURG, SC
ZIP 29302
Phone: (864) 560-3860
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SPARTANBURG REGIONAL HEALTHCARE SYSTEM is a gerontology nurse practitioner in Spartanburg, SC. SPARTANBURG REGIONAL HEALTHCARE SYSTEM NPI is 1336111590. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

120 HEYWOOD AVE
SUITE 300
SPARTANBURG, SC
ZIP 29302-210
Phone: (864) 560-3860
Fax: (864) 560-3712

The provider's authorized official is Wendy Murray .
The authorized official title is Nurse Practitioner and has the following contact phone number (864) 560-3860.

The enumeration date for this NPI number is 2/2/2006 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	363LG0600X	Nurse Practitioner	Gerontology	20602	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	206020	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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