PHENOMENAL HEALTHCARE SOLUTIONS NPI 1023603420

NPI Information

NPI: 1023603420
Provider Name: PHENOMENAL HEALTHCARE SOLUTIONS
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 42D2287123

Address:
1526C JOHN B WHITE SR BLVD
SPARTANBURG, SC
ZIP 29301
Phone: (864) 707-2010
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PHENOMENAL HEALTHCARE SOLUTIONS is a health service clinic center in Spartanburg, SC. PHENOMENAL HEALTHCARE SOLUTIONS NPI is 1023603420. The provider is registered as an organization entity type.

The provider's business location address is:

1526C JOHN B WHITE SR BLVD
SPARTANBURG, SC
ZIP 29301-886
Phone: (864) 707-2010
Fax: (855) 583-3720

The provider's authorized official is Audrey Huff .
The authorized official title is Owner and has the following contact phone number (864) 541-3616.

The CLIA number assigned to this NPI record is 42D2287123 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2021 and was last updated on 12/8/2023.

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	261QH0100X	Clinic/Center	Health Service			Yes

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

NPI Synchronization or Removal

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