STRAND REGIONAL SPECIALTY NPI 1134146160

NPI Information

NPI: 1134146160
Provider Name: STRAND REGIONAL SPECIALTY
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
2376 CYPRESS CIR
SUITE 200
CONWAY, SC
ZIP 29526
Phone: (843) 234-1710
Get Directions

STRAND REGIONAL SPECIALTY is a multi-specialty clinic center in Conway, SC. STRAND REGIONAL SPECIALTY NPI is 1134146160. The provider is registered as an organization entity type.

The provider's business location address is:

2376 CYPRESS CIR
SUITE 200
CONWAY, SC
ZIP 29526-964
Phone: (843) 234-1710
Fax: (843) 234-1715

The provider's authorized official is Sonja Willis .
The authorized official title is Insurance Specialist and has the following contact phone number (843) 692-2149.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 7/21/2010.

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	261QM1300X	Clinic/Center	Multi-Specialty			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	1819815	MEDICAID	PENNSYLVANIA
2	6343	MEDICARE ID-TYPE UNSPECIFIED	SOUTH CAROLINA	SC MEDICARE
3	GP2761	MEDICAID	SOUTH CAROLINA
4	5599938	OTHER	NEW YORK	GHI
5	=========003	OTHER	SOUTH CAROLINA	SC BCBS
6	790167K	MEDICAID	NORTH 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: 5/5/2024

NPI Synchronization or Removal

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