TRI-COUNTY PEDIATRICS LLC NPI 1114066883

NPI Information

NPI: 1114066883
Provider Name: TRI-COUNTY PEDIATRICS LLC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 42D1047289

Address:
815 E LIBERTY ST
YORK, SC
ZIP 29745
Phone: (803) 329-2700
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TRI-COUNTY PEDIATRICS LLC is a rural health clinic center in York, SC. TRI-COUNTY PEDIATRICS LLC NPI is 1114066883. The provider is registered as an organization entity type.

The provider's business location address is:

815 E LIBERTY ST
YORK, SC
ZIP 29745-661
Phone: (803) 329-2700

The provider's authorized official is Gaurang C Shah .
The authorized official title is Medical Director and has the following contact phone number (803) 329-2700.

The CLIA number assigned to this NPI record is 42D1047289 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 4/2/2020.

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	261QR1300X	Clinic/Center	Rural Health	22018	SOUTH CAROLINA	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: 5/5/2024

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