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PALMETTO HEALTH NPI 1962471946


NPI Information

NPI: 1962471946
Provider Name: PALMETTO HEALTH

Doing Business As: PALMETTO HEALTH SENIOR PRIMARY CARE PRACTICE

Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
3010 FARROW RD
SUITE 300
COLUMBIA, SC
ZIP 29203
Phone: (803) 434-1210
Get Directions

PALMETTO HEALTH is a geriatric medicine internal medicine in Columbia, SC. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. PALMETTO HEALTH NPI is 1962471946. The provider is registered as an organization entity type.
The provider Is Doing Business As Palmetto Health Senior Primary Care Practice.

The provider's business location address is:

3010 FARROW RD
SUITE 300
COLUMBIA, SC
ZIP 29203-607
Phone: (803) 434-1210
Fax: (803) 434-1212

The provider's authorized official is Thomas Wayne Jackson .
The authorized official title is Medical Director and has the following contact phone number (803) 434-1210.

The enumeration date for this NPI number is 3/14/2006 and was last updated on 3/4/2008.


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
1282NC0060XGeneral Acute Care HospitalCritical AccessSOUTH CAROLINANo
2207RG0300XInternal MedicineGeriatric MedicineSOUTH 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
1GP1537MEDICAIDSOUTH CAROLINA
2420018MEDICARE OSCAR/CERTIFICATIONSOUTH CAROLINA
35770MEDICARE PINSOUTH 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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