Provider Type Icon

PALMETTO HEALTH ALLIANCE NPI 1629014188


NPI Information

NPI: 1629014188
Provider Name: PALMETTO HEALTH ALLIANCE

Doing Business As: PALMETTO WOMEN'S WELLNESS

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
1 RICHLAND MEDICAL PARK
SUITE 110
COLUMBIA, SC
ZIP 29203
Phone: (803) 434-2490
Get Directions

PALMETTO HEALTH ALLIANCE is an obstetrics gynecology in Columbia, SC. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. PALMETTO HEALTH ALLIANCE NPI is 1629014188. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Palmetto Women's Wellness.

The provider's business location address is:

1 RICHLAND MEDICAL PARK
SUITE 110
COLUMBIA, SC
ZIP 29203-834
Phone: (803) 434-2490

The provider's authorized official is Darrell C Coven .
The authorized official title is Finance Director Of Business Dev. and has the following contact phone number (803) 296-7304.

The enumeration date for this NPI number is 6/22/2006 and was last updated on 9/12/2007.


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
1207V00000XObstetrics & GynecologyYes

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
14854MEDICARE ID-TYPE UNSPECIFIEDSOUTH CAROLINA
2GP3664MEDICAIDSOUTH 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.