UNIFIED FAMILY HEALTH CENTER LLC NPI 1568001642

NPI Information

  • NPI: 1568001642
  • Provider Name: UNIFIED FAMILY HEALTH CENTER LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • CLIA Number: 42D2206466
  • Address: 1032A KINLEY RD
    IRMO, SC
    ZIP 29063
  • Phone: (803) 732-6635

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NPI Details

UNIFIED FAMILY HEALTH CENTER LLC is a family nurse practitioner in Irmo, SC. UNIFIED FAMILY HEALTH CENTER LLC NPI is 1568001642. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1032A KINLEY RD
IRMO, SC
ZIP 29063-632
Phone: (803) 732-6635
Fax: (803) 461-0655

The provider's authorized official is Kelly Burchit .
The authorized official title is Billing Manager and has the following contact phone number (864) 626-3374.

The CLIA number assigned to this NPI record is 42D2206466 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/6/2020 and was last updated on 1/6/2020.

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
1363LF0000XNurse PractitionerFamilyYes

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
12898OTHERSOUTH CAROLINAMEDICAL LICENSE

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: 3/30/2025

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