LANCASTER ONE MEDICAL PA NPI 1174620520

NPI Information

NPI: 1174620520
Provider Name: LANCASTER ONE MEDICAL PA
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
539 HWY 9 BYPASS E
LANCASTER, SC
ZIP 29720
Phone: (803) 286-5700
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LANCASTER ONE MEDICAL PA is a primary care clinic center in Lancaster, SC. LANCASTER ONE MEDICAL PA NPI is 1174620520. The provider is registered as an organization entity type.

The provider's business location address is:

539 HWY 9 BYPASS E
LANCASTER, SC
ZIP 29720
Phone: (803) 286-5700
Fax: (803) 285-6119

The provider's authorized official is Xiaolu J Dong .
The authorized official title is Owner Physician and has the following contact phone number (803) 286-5700.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 11/15/2010.

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	261QP2300X	Clinic/Center	Primary Care	8904	SOUTH CAROLINA	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
1	B91825	MEDICARE UPIN	SOUTH CAROLINA
2	U63412	MEDICARE UPIN	SOUTH CAROLINA
3	7172	MEDICARE PIN	SOUTH CAROLINA
4	CH1486	MEDICAID	SOUTH CAROLINA
5	CH2095	MEDICAID	SOUTH CAROLINA
6	U25929	MEDICARE UPIN	SOUTH CAROLINA
7	089040	MEDICAID	SOUTH 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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