SPARTANBURG MEDICAL CENTER NPI 1861851446

NPI Information

NPI: 1861851446
Provider Name: SPARTANBURG MEDICAL CENTER

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

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3611 PELHAM RD
GREENVILLE, SC
ZIP 29615
Phone: (864) 560-3500
Get Directions

SPARTANBURG MEDICAL CENTER is a family medicine in Greenville, 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 1861851446. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Medical Group Of The Carolinas- Immediate Care Center-pelham.

The provider's business location address is:

3611 PELHAM RD
GREENVILLE, SC
ZIP 29615-002
Phone: (864) 560-3500
Fax: (864) 560-3525

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 2/11/2016 and was last updated on 4/12/2016.

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	363LF0000X	Nurse Practitioner	Family		SOUTH CAROLINA	No
2	207Q00000X	Family Medicine			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	GP7221	MEDICAID	SOUTH CAROLINA
2	6067	MEDICARE PIN	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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