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ST FRANCIS PHYSICIAN SERVICES INC NPI 1770543100


NPI Information

NPI: 1770543100
Provider Name: ST FRANCIS PHYSICIAN SERVICES INC

Doing Business As: GATEWAY FAMILY MEDICINE OF TRAVELERS REST

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 42D0253277

Address:
406 N POINSETT HWY
TRAVELERS REST, SC
ZIP 29690
Phone: (864) 834-4151
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ST FRANCIS PHYSICIAN SERVICES INC is a family medicine in Travelers Rest, 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. ST FRANCIS PHYSICIAN SERVICES INC NPI is 1770543100. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Gateway Family Medicine Of Travelers Rest.

The provider's business location address is:

406 N POINSETT HWY
TRAVELERS REST, SC
ZIP 29690-667
Phone: (864) 834-4151
Fax: (864) 834-6145

The provider's authorized official is Wilbur R Gay .
The authorized official title is Cfo and has the following contact phone number (864) 605-3762.

The CLIA number assigned to this NPI record is 42D0253277 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/28/2006 and was last updated on 7/2/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207Q00000XFamily MedicineSOUTH 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
1GP2984MEDICAIDSOUTH 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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