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SISTERS OF CHARITY PROVIDENCE HOSPITALS NPI 1194796607


NPI Information

NPI: 1194796607
Provider Name: SISTERS OF CHARITY PROVIDENCE HOSPITALS

Doing Business As: PROVIDENCE HOSPITAL CRNAS

Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Organization
Address:
2435 FOREST DRIVE
COLUMBIA, SC
ZIP 29204
Phone: (803) 454-2613
Get Directions

SISTERS OF CHARITY PROVIDENCE HOSPITALS is a nurse anesthetist certified registered in Columbia, SC. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. SISTERS OF CHARITY PROVIDENCE HOSPITALS NPI is 1194796607. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Providence Hospital Crnas.

The provider's business location address is:

2435 FOREST DRIVE
COLUMBIA, SC
ZIP 29204
Phone: (803) 454-2613
Fax: (803) 765-1732

The provider's authorized official is Jho R. Outlaw .
The authorized official title is Executive Director and has the following contact phone number (803) 454-2600.

The enumeration date for this NPI number is 2/1/2006 and was last updated on 5/27/2015.


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
1367500000XNurse Anesthetist, Certified RegisteredYes

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
17187MEDICARE PINSOUTH CAROLINA
2GP3278MEDICAIDSOUTH 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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