REGIONAL PSYCHIATRY NPI 1790765980

NPI Information

NPI: 1790765980
Provider Name: REGIONAL PSYCHIATRY
Classification: Clinic/Center - 261QP0905X
Entity Type: Organization

Specialization: Public Health, State or Local

CLIA Number: 42D1095674

Address:
100 E WOOD ST
SUITE 200
SPARTANBURG, SC
ZIP 29303
Phone: (864) 560-7517
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REGIONAL PSYCHIATRY is a public health and state or local clinic center in Spartanburg, SC. REGIONAL PSYCHIATRY NPI is 1790765980. The provider is registered as an organization entity type.

The provider's business location address is:

100 E WOOD ST
SUITE 200
SPARTANBURG, SC
ZIP 29303-004
Phone: (864) 560-7517
Fax: (864) 560-7520

The provider's authorized official is Marchele Garrett .
The authorized official title is Practice Management and has the following contact phone number (864) 560-7551.

The CLIA number assigned to this NPI record is 42D1095674 - other - outpatient lab collection with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/23/2006 and was last updated on 8/22/2020.

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
1	261QP0905X	Clinic/Center	Public Health, State or Local			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	211078	MEDICAID	SOUTH CAROLINA
2	21107	OTHER	SOUTH CAROLINA	SC 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: 4/28/2024

NPI Synchronization or Removal

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