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PALMETTO HEALTH NPI 1518337831


NPI Information

NPI: 1518337831
Provider Name: PALMETTO HEALTH
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 42D0940723

Address:
2133 WALKER SOLOMON WAY
COLUMBIA, SC
ZIP 29204
Phone: (803) 296-2548
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PALMETTO HEALTH is a multi-specialty clinic center in Columbia, SC. PALMETTO HEALTH NPI is 1518337831. The provider is registered as an organization entity type.

The provider's business location address is:

2133 WALKER SOLOMON WAY
COLUMBIA, SC
ZIP 29204-131
Phone: (803) 296-2548
Fax: (803) 296-2548

The provider's authorized official is Thomas B Eckert .
The authorized official title is Director Of Patient Accounts and has the following contact phone number (803) 296-2548.

The CLIA number assigned to this NPI record is 42D0940723 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/29/2015 and was last updated on 9/29/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1300XClinic/CenterMulti-SpecialtySOUTH 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
1420018MEDICARE OSCAR/CERTIFICATIONSOUTH 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

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