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PREMISE HEALTH OF SOUTH CAROLINA MEDICAL P.C NPI 1841847423


NPI Information

NPI: 1841847423
Provider Name: PREMISE HEALTH OF SOUTH CAROLINA MEDICAL, P.C

Doing Business As: CHARLESTON HEALTH CENTER

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 42D2172497

Address:
9051 PALMETTO COMMERCE PKWY
LADSON, SC
ZIP 29456
Phone: (843) 695-2233
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PREMISE HEALTH OF SOUTH CAROLINA MEDICAL, P.C is a primary care clinic center in Ladson, SC. PREMISE HEALTH OF SOUTH CAROLINA MEDICAL, P.C NPI is 1841847423. The provider is registered as an organization entity type.
The provider Is Doing Business As Charleston Health Center.

The provider's business location address is:

9051 PALMETTO COMMERCE PKWY
LADSON, SC
ZIP 29456-705
Phone: (843) 695-2233
Fax: (843) 695-2640

The provider's authorized official is Jon Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.

The CLIA number assigned to this NPI record is 42D2172497 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/20/2019 and was last updated on 8/23/2022.


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
1261QP2300XClinic/CenterPrimary 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: 5/5/2024

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