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PALMETTO HEALTH NPI 1558442079


NPI Information

NPI: 1558442079
Provider Name: PALMETTO HEALTH

Doing Business As: CHILDREN'S HOSPITAL SPECIAL CARE CENTER

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
14 RICHLAND MEDICAL PARK DRIVE
SUITE310
COULMBIA, SC
ZIP 29203
Phone: (803) 296-2548
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PALMETTO HEALTH is a medical specialty clinic center in Coulmbia, 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). PALMETTO HEALTH NPI is 1558442079. The provider is registered as an organization entity type.
The provider Is Doing Business As Children's Hospital Special Care Center.

The provider's business location address is:

14 RICHLAND MEDICAL PARK DRIVE
SUITE310
COULMBIA, SC
ZIP 29203
Phone: (803) 296-2548
Fax: (803) 296-2548

The provider's authorized official is Thomas B Eckert .
The authorized official title is Director Of Pfs and has the following contact phone number (803) 296-2548.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 9/24/2012.


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
1261QM2500XClinic/CenterMedical SpecialtySOUTH 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
1GP1795MEDICAIDSOUTH 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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