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SPARTANBURG MEDICAL CENTER NPI 1508819483


NPI Information

NPI: 1508819483
Provider Name: SPARTANBURG MEDICAL CENTER

Doing Business As: MEDICAL GROUP OF THE CAROLINAS - IMMEDIATE CARE CENTER - WESTSIDE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
151 PEACHWOOD CENTRE DR
SPARTANBURG, SC
ZIP 29301
Phone: (864) 560-9627
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SPARTANBURG MEDICAL CENTER is a family medicine in Spartanburg, SC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SPARTANBURG MEDICAL CENTER NPI is 1508819483. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Medical Group Of The Carolinas - Immediate Care Center - Westside.

The provider's business location address is:

151 PEACHWOOD CENTRE DR
SPARTANBURG, SC
ZIP 29301-575
Phone: (864) 560-9627
Fax: (864) 562-5470

The provider's authorized official is Kenneth Meinke .
The authorized official title is Chief Financial Officer and has the following contact phone number (864) 560-6000.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 5/12/2014.


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
1207Q00000XFamily MedicineYes

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
1GP1118MEDICAIDSOUTH CAROLINA
2CN1627OTHERSOUTH CAROLINARAILROAD MEDICARE GROUP #
3GP5864MEDICAIDSOUTH CAROLINA
46067MEDICARE 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: 11/14/2023

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