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HEALTHSTAT ON-SITE CLINIC/MILLIKEN ALLEN NPI 1821424045


NPI Information

NPI: 1821424045
Provider Name: HEALTHSTAT ON-SITE CLINIC/MILLIKEN ALLEN
Classification: Preventive Medicine - 2083P0500X
Entity Type: Organization

Specialization: Preventive Medicine/Occupational Environmental Medicine

CLIA Number: 42D1069134

Address:
164 MILLIKEN ST
BLACKSBURG, SC
ZIP 29702
Phone: (864) 839-0481
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HEALTHSTAT ON-SITE CLINIC/MILLIKEN ALLEN is a preventive medicine/occupational environmental medicine preventive medicine in Blacksburg, SC. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. HEALTHSTAT ON-SITE CLINIC/MILLIKEN ALLEN NPI is 1821424045. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

164 MILLIKEN ST
BLACKSBURG, SC
ZIP 29702
Phone: (864) 839-0481

The provider's authorized official is Warren Hutton .
The authorized official title is Coo and has the following contact phone number (704) 529-6161.

The CLIA number assigned to this NPI record is 42D1069134 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/19/2013 and was last updated on 9/19/2013.


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
12083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental MedicineYes

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: 5/5/2024

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