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PALMETTO HEALTH NPI 1194743856


NPI Information

NPI: 1194743856
Provider Name: PALMETTO HEALTH

Doing Business As: CHILDRENS HOSPITAL INTENSIVISTS

Classification: Pediatrics - 2080P0203X
Entity Type: Organization

Specialization: Pediatric Critical Care Medicine

Address:
9 MEDICAL PARK
SUITE 530
COLUMBIA, SC
ZIP 29203
Phone: (803) 434-4603
Get Directions

PALMETTO HEALTH is a pediatric critical care medicine pediatrics in Columbia, SC. The provider is a pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. PALMETTO HEALTH NPI is 1194743856. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Childrens Hospital Intensivists.

The provider's business location address is:

9 MEDICAL PARK
SUITE 530
COLUMBIA, SC
ZIP 29203-859
Phone: (803) 434-4603
Fax: (803) 434-3866

The provider's authorized official is Darrell C Coven .
The authorized official title is Director, Ambulatory Svcs - Finance and has the following contact phone number (803) 296-7301.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 8/30/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0203XPediatricsPediatric Critical Care MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15742MEDICARE PINSOUTH CAROLINA
2GP1561MEDICAIDSOUTH 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: 11/14/2023

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