Provider Type Icon

OMNIMED LLC NPI 1588623433


NPI Information

NPI: 1588623433
Provider Name: OMNIMED LLC

Doing Business As: RIVERVIEW MEDICAL CENTER/OCCUMED

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 42D2180396

Address:
2450 INDIA HOOK RD
ROCK HILL, SC
ZIP 29732
Phone: (803) 366-7443
Get Directions

OMNIMED LLC is a family medicine in Rock Hill, 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. OMNIMED LLC NPI is 1588623433. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Riverview Medical Center/occumed.

The provider's business location address is:

2450 INDIA HOOK RD
ROCK HILL, SC
ZIP 29732-270
Phone: (803) 366-7443
Fax: (803) 329-1118

The provider's authorized official is Jennifer Randel .
The authorized official title is Office Manager and has the following contact phone number (803) 366-7443.

The CLIA number assigned to this NPI record is 42D2180396 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/20/2006 and was last updated on 3/8/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency MedicineNo
2207R00000XInternal MedicineNo
3332B00000XDurable Medical Equipment & Medical SuppliesNo
4363L00000XNurse PractitionerNo
5207Q00000XFamily 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
14448680OTHERAETNA
20120IOTHERNORTH CAROLINABLUE CROSS BLUE SHIELD NC
3DE3289OTHERSOUTH CAROLINAMEDIACID SC - DME
4GP4453MEDICAIDSOUTH 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.