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PROVIDENCE CARDIOLOGY LLC NPI 1376824920


NPI Information

NPI: 1376824920
Provider Name: PROVIDENCE CARDIOLOGY LLC

Doing Business As: PROVIDENCE CARDIOLOGY

Classification: Internal Medicine - 207RI0011X
Entity Type: Organization

Specialization: Interventional Cardiology

CLIA Number: 42D2212264

Address:
506 NORTH ST
BAMBERG, SC
ZIP 29003
Phone: (803) 245-6290
Get Directions

PROVIDENCE CARDIOLOGY LLC is an interventional cardiology internal medicine in Bamberg, SC. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. PROVIDENCE CARDIOLOGY LLC NPI is 1376824920. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Providence Cardiology.

The provider's business location address is:

506 NORTH ST
BAMBERG, SC
ZIP 29003-319
Phone: (803) 245-6290
Fax: (803) 245-6291

The provider's authorized official is Kathleen L Koenig .
The authorized official title is Chief Financial Officer and has the following contact phone number (803) 254-3278.

The CLIA number assigned to this NPI record is 42D2212264 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/8/2011 and was last updated on 9/8/2011.


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
1207RC0000XInternal MedicineCardiovascular DiseaseNo
2207RI0011XInternal MedicineInterventional CardiologyYes

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: 5/5/2024

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