OCONEE PEDIATRICS NPI 1629049127

NPI Information

NPI: 1629049127
Provider Name: OCONEE PEDIATRICS
Classification: Clinic/Center - 261QR1300X
Specialization: Rural Health
Entity Type: Organization
CLIA Number: 42D0253207
Address: 15579 WELLS HIGHWAY
SENECA, SC
ZIP 29678
Phone: (864) 882-7800

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NPI Details

OCONEE PEDIATRICS is a rural health clinic center in Seneca, SC. OCONEE PEDIATRICS NPI is 1629049127. The provider is registered as an organization entity type.

The provider's business location address is:

15579 WELLS HIGHWAY
SENECA, SC
ZIP 29678-318
Phone: (864) 882-7800
Fax: (864) 882-5908

The provider's authorized official is Frank A Stewart .
The authorized official title is Business Owner and has the following contact phone number (864) 882-7800.

The CLIA number assigned to this NPI record is 42D0253207 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/1/2006 and was last updated on 12/13/2019.

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	261QR1300X	Clinic/Center	Rural Health			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	RHC135	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: 3/30/2025

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