OMNIMED LLC NPI 1588623433

NPI Information

NPI: 1588623433
Provider Name: OMNIMED LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Doing Business As: RIVERVIEW MEDICAL CENTER/OCCUMED
CLIA Number: 42D2180396
Address: 2450 INDIA HOOK RD
ROCK HILL, SC
ZIP 29732
Phone: (803) 366-7443

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NPI Details

OMNIMED LLC is a family medicine in Rock Hill, SC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. OMNIMED LLC NPI is 1588623433. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Riverview Medical Center/occumed.

The provider's business location address is:

2450 INDIA HOOK RD
ROCK HILL, SC
ZIP 29732-270
Phone: (803) 366-7443
Fax: (803) 329-1118

The provider's authorized official is Jennifer Randel .
The authorized official title is Office Manager and has the following contact phone number (803) 366-7443.

The CLIA number assigned to this NPI record is 42D2180396 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/20/2006 and was last updated on 3/8/2021.

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	Primary
1	207P00000X	Emergency Medicine	No
2	207R00000X	Internal Medicine	No
3	332B00000X	Durable Medical Equipment & Medical Supplies	No
4	363L00000X	Nurse Practitioner	No
5	207Q00000X	Family Medicine	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	4448680	OTHER		AETNA
2	0120I	OTHER	NORTH CAROLINA	BLUE CROSS BLUE SHIELD NC
3	DE3289	OTHER	SOUTH CAROLINA	MEDIACID SC - DME
4	GP4453	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: 11/21/2025

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