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PALMETTO HEALTH NPI 1659316743


NPI Information

NPI: 1659316743
Provider Name: PALMETTO HEALTH

Doing Business As: NORTHEAST FAMILY PRACTICE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3000 NE MEDICAL PARK
SUITE 209
COLUMBIA, SC
ZIP 29223
Phone: (803) 736-6262
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PALMETTO HEALTH is a family medicine in Columbia, 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. PALMETTO HEALTH NPI is 1659316743. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Northeast Family Practice.

The provider's business location address is:

3000 NE MEDICAL PARK
SUITE 209
COLUMBIA, SC
ZIP 29223-251
Phone: (803) 736-6262
Fax: (803) 699-1934

The provider's authorized official is Darrell C Coven .
The authorized official title is Finance Director Of Business Dev. and has the following contact phone number (803) 296-7301.

The enumeration date for this NPI number is 6/20/2006 and was last updated on 12/27/2007.


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
1207Q00000XFamily MedicineYes

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
1GP0039MEDICAIDSOUTH CAROLINA
27654MEDICARE PINSOUTH 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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