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PROVIDENCE HOSPITAL LLC NPI 1003811290


NPI Information

NPI: 1003811290
Provider Name: PROVIDENCE HOSPITAL, LLC

Doing Business As: PROVIDENCE HEALTH

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
2435 FOREST DR
COLUMBIA, SC
ZIP 29204
Phone: (803) 256-5300
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PROVIDENCE HOSPITAL, LLC is a general acute care hospital in Columbia, SC. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. PROVIDENCE HOSPITAL, LLC NPI is 1003811290. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Health.

The provider's business location address is:

2435 FOREST DR
COLUMBIA, SC
ZIP 29204-026
Phone: (803) 256-5300
Fax: (803) 256-5935

The provider's authorized official is Kathy J. Teague .
The authorized official title is Assistant Vice President, Secretary and has the following contact phone number (615) 920-7000.

The enumeration date for this NPI number is 6/15/2005 and was last updated on 3/22/2021.


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
1261QA1903XClinic/CenterAmbulatory SurgicalASF058SOUTH CAROLINANo
2282N00000XGeneral Acute Care HospitalHTL821SOUTH CAROLINANo
3282N00000XGeneral Acute Care HospitalHTL820SOUTH 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
1274472MEDICAIDSOUTH CAROLINA
2429453MEDICAIDSOUTH 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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