OAKTREE MEDICAL CENTRE PC NPI 1154308617

NPI Information

  • NPI: 1154308617
  • Provider Name: OAKTREE MEDICAL CENTRE, PC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 115 BRUSHY CREEK RD
    EASLEY, SC
    ZIP 29642
  • Phone: (864) 855-1633

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NPI Details

OAKTREE MEDICAL CENTRE, PC is a clinic center in Easley, SC. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). OAKTREE MEDICAL CENTRE, PC NPI is 1154308617. The provider is registered as an organization entity type.

The provider's business location address is:

115 BRUSHY CREEK RD
EASLEY, SC
ZIP 29642-120
Phone: (864) 855-1633
Fax: (864) 855-1323

The provider's authorized official is Daniel A. Mccollum .
The authorized official title is President and has the following contact phone number (864) 855-1633.

The enumeration date for this NPI number is 12/27/2005 and was last updated on 12/29/2009.

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
1261Q00000XClinic/CenterYes

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
1GP2763MEDICAIDSOUTH CAROLINA
26089MEDICARE 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: 11/21/2025

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