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CAMDEN HEART CARE LLC NPI 1447429493


NPI Information

NPI: 1447429493
Provider Name: CAMDEN HEART CARE, LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 42D1083311

Address:
1045 W DEKALB ST
CAMDEN, SC
ZIP 29020
Phone: (803) 432-8622
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CAMDEN HEART CARE, LLC is a clinic center in Camden, SC. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CAMDEN HEART CARE, LLC NPI is 1447429493. The provider is registered as an organization entity type.

The provider's business location address is:

1045 W DEKALB ST
CAMDEN, SC
ZIP 29020-162
Phone: (803) 432-8622
Fax: (803) 432-8624

The provider's authorized official is William Lawrence Schoolmeester .
The authorized official title is Owner and has the following contact phone number (803) 432-8622.

The CLIA number assigned to this NPI record is 42D1083311 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/25/2008 and was last updated on 3/30/2015.


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
1261Q00000XClinic/Center9972SOUTH 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1099725MEDICAIDSOUTH CAROLINA
28919MEDICARE PINSOUTH 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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