SPARTANBURG REGIONAL HEALTHCARE SYSTEM OUTPATIENT PHARMACY NPI 1710127154

NPI Information

NPI: 1710127154
Provider Name: SPARTANBURG REGIONAL HEALTHCARE SYSTEM OUTPATIENT PHARMACY
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 42D0909618

Address:
101 E WOOD ST
SPARTANBURG, SC
ZIP 29303
Phone: (864) 560-6772
Get Directions

SPARTANBURG REGIONAL HEALTHCARE SYSTEM OUTPATIENT PHARMACY is a durable medical equipment medical supplies in Spartanburg, SC. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. SPARTANBURG REGIONAL HEALTHCARE SYSTEM OUTPATIENT PHARMACY NPI is 1710127154. The provider is registered as an organization entity type.

The provider's business location address is:

101 E WOOD ST
SPARTANBURG, SC
ZIP 29303-040
Phone: (864) 560-6772
Fax: (864) 560-7026

The provider's authorized official is Ingo Angermeier .
The authorized official title is President/ceo and has the following contact phone number (864) 560-6000.

The CLIA number assigned to this NPI record is 42D0909618 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/25/2009 and was last updated on 2/25/2009.

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	332B00000X	Durable Medical Equipment & Medical Supplies		50003120	SOUTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4215174	OTHER	SOUTH CAROLINA	NCPDP OR NABP NUMBER
2	702355	MEDICAID	SOUTH 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

NPI Synchronization or Removal

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