SPRING VALLEY FAMILY PRACTIC NPI 1205889789

NPI Information

  • NPI: 1205889789
  • Provider Name: SPRING VALLEY FAMILY PRACTIC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • CLIA Number: 42D1003749
  • Address: 229 LONGTOWN RD
    COLUMBIA, SC
    ZIP 29229
  • Phone: (803) 419-4949

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NPI Details

SPRING VALLEY FAMILY PRACTIC is a medical specialty clinic center in Columbia, SC. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). SPRING VALLEY FAMILY PRACTIC NPI is 1205889789. The provider is registered as an organization entity type.

The provider's business location address is:

229 LONGTOWN RD
COLUMBIA, SC
ZIP 29229-550
Phone: (803) 419-4949
Fax: (803) 419-6445

The provider's authorized official is Rutkumar Jani .
The authorized official title is Owner and has the following contact phone number (803) 419-4949.

The CLIA number assigned to this NPI record is 42D1003749 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/18/2006 and was last updated on 4/20/2008.

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
1261QM2500XClinic/CenterMedical Specialty15409SOUTH CAROLINAYes

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
18267MEDICARE ID-TYPE UNSPECIFIEDSOUTH CAROLINASC MEDICARE GRP #
2131100MEDICAIDSOUTH CAROLINA
3154095MEDICAIDSOUTH CAROLINA
4T64212MEDICAIDSOUTH CAROLINA
5=========OTHERSOUTH CAROLINAFEDERAL EIN

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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