SELF MEDICAL GROUP NPI 1841591195

NPI Information

  • NPI: 1841591195
  • Provider Name: SELF MEDICAL GROUP
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • Other Name: EXPRESS MEDICAL CARE, A DIVISION OF SELF MEDICAL GROUP
  • CLIA Number: 42D0955742
  • Address: 102 ROCKCREEK BLVD
    GREENWOOD, SC
    ZIP 29649
  • Phone: (864) 725-5020

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NPI Details

SELF MEDICAL GROUP is an urgent care clinic center in Greenwood, SC. SELF MEDICAL GROUP NPI is 1841591195. The provider is registered as an organization entity type.
The provider Other Name Is Express Medical Care, A Division Of Self Medical Group.

The provider's business location address is:

102 ROCKCREEK BLVD
GREENWOOD, SC
ZIP 29649-915
Phone: (864) 725-5020
Fax: (864) 725-5615

The provider's authorized official is Matthew T Logan .
The authorized official title is President And Chief Executive Offic and has the following contact phone number (864) 725-4253.

The CLIA number assigned to this NPI record is 42D0955742 - other - urgent care with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/3/2010 and was last updated on 12/14/2021.

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
1261QU0200XClinic/CenterUrgent CareYes

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: 11/21/2025

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