PALMETTO HEALTH BAPTIST EASLEY NPI 1497886329

NPI Information

NPI: 1497886329
Provider Name: PALMETTO HEALTH BAPTIST EASLEY
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 42D1092303

Address:
200 FLEETWOOD DR
EASLEY, SC
ZIP 29640
Phone: (864) 442-7200
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PALMETTO HEALTH BAPTIST EASLEY is a multi-specialty clinic center in Easley, SC. PALMETTO HEALTH BAPTIST EASLEY NPI is 1497886329. The provider is registered as an organization entity type.

The provider's business location address is:

200 FLEETWOOD DR
EASLEY, SC
ZIP 29640-022
Phone: (864) 442-7200
Fax: (864) 442-7579

The provider's authorized official is James Larry Pope .
The authorized official title is Cfo and has the following contact phone number (864) 442-7610.

The CLIA number assigned to this NPI record is 42D1092303 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 8/22/2020.

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
1	261QM1300X	Clinic/Center	Multi-Specialty		SOUTH CAROLINA	Yes

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
1	DPE052	MEDICAID	SOUTH 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

NPI Synchronization or Removal

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