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SPARTANBURG MEDICAL CENTER NPI 1518112143


NPI Information

NPI: 1518112143
Provider Name: SPARTANBURG MEDICAL CENTER

Doing Business As: MEDICAL GROUP OF THE CAROLINAS - CAROLINA OB/GYN - WESTSIDE

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
2995 REIDVILLE RD
SUITE 290
SPARTANBURG, SC
ZIP 29301
Phone: (864) 574-4483
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SPARTANBURG MEDICAL CENTER is an obstetrics gynecology in Spartanburg, SC. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. SPARTANBURG MEDICAL CENTER NPI is 1518112143. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Medical Group Of The Carolinas - Carolina Ob/gyn - Westside.

The provider's business location address is:

2995 REIDVILLE RD
SUITE 290
SPARTANBURG, SC
ZIP 29301-628
Phone: (864) 574-4483
Fax: (864) 574-1162

The provider's authorized official is Kenneth Meinke .
The authorized official title is Chief Financial Officer and has the following contact phone number (864) 560-6000.

The enumeration date for this NPI number is 11/24/2008 and was last updated on 12/12/2013.


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
1207V00000XObstetrics & GynecologyYes

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
1CN1627OTHERSOUTH CAROLINARR MEDICARE
26162MEDICARE PINSOUTH CAROLINA
3GP1118MEDICAIDSOUTH CAROLINA
4GP5791MEDICAIDSOUTH 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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