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THE CAROLINA CENTER FOR RHEUMATOLOGY AND ARTHRITIS CARE PA NPI 1376505990


NPI Information

NPI: 1376505990
Provider Name: THE CAROLINA CENTER FOR RHEUMATOLOGY AND ARTHRITIS CARE, PA
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 42D2083489

Address:
744 ARDEN LN
SUITE 225
ROCK HILL, SC
ZIP 29732
Phone: (803) 329-1660
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THE CAROLINA CENTER FOR RHEUMATOLOGY AND ARTHRITIS CARE, PA is a specialist in Rock Hill, SC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. THE CAROLINA CENTER FOR RHEUMATOLOGY AND ARTHRITIS CARE, PA NPI is 1376505990. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

744 ARDEN LN
SUITE 225
ROCK HILL, SC
ZIP 29732-286
Phone: (803) 329-1660
Fax: (803) 329-4118

The provider's authorized official is Jennifer Mary Patronik .
The authorized official title is Office Manager and has the following contact phone number (803) 329-1660.

The CLIA number assigned to this NPI record is 42D2083489 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/6/2006 and was last updated on 2/17/2009.


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
1174400000XSpecialist17962SOUTH CAROLINANo
2174400000XSpecialist39768NORTH CAROLINANo
3174400000XSpecialist01456NORTH CAROLINANo
4174400000XSpecialist14896SOUTH CAROLINAYes

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
12318671MEDICARE PINNORTH CAROLINA
2=========OTHERSOUTH CAROLINAEIN
3=========OTHERNORTH CAROLINAEIN
4CC6002MEDICAIDSOUTH CAROLINA
54203MEDICARE PINSOUTH 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.