SELF REGIONAL HEALTHCARE NPI 1417582503

NPI Information

NPI: 1417582503
Provider Name: SELF REGIONAL HEALTHCARE

Doing Business As: SRH DIABETES EDUCATION

Classification: Registered Nurse - 163WD0400X
Entity Type: Organization

Specialization: Diabetes Educator

Address:
1226 SPRING ST
GREENWOOD, SC
ZIP 29646
Phone: (864) 725-4853
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SELF REGIONAL HEALTHCARE is a diabetes educator registered nurse in Greenwood, SC. SELF REGIONAL HEALTHCARE NPI is 1417582503. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Srh Diabetes Education.

The provider's business location address is:

1226 SPRING ST
GREENWOOD, SC
ZIP 29646-835
Phone: (864) 725-4853
Fax: (864) 725-4125

The provider's authorized official is Matthew T Logan .
The authorized official title is President And Ceo and has the following contact phone number (864) 725-4253.

The enumeration date for this NPI number is 3/9/2020 and was last updated on 12/14/2021.

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	163W00000X	Registered Nurse				No
2	163WD0400X	Registered Nurse	Diabetes Educator			Yes

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: 5/5/2024

NPI Synchronization or Removal

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