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GOLDENBEAR RC SERVICES LLC NPI 1982129706


NPI Information

NPI: 1982129706
Provider Name: GOLDENBEAR RC SERVICES LLC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
1304 SUNSET BLVD # 203248
WEST COLUMBIA, SC
ZIP 29169
Phone: (866) 374-6628
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GOLDENBEAR RC SERVICES LLC is a medical specialty clinic center in West Columbia, SC. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). GOLDENBEAR RC SERVICES LLC NPI is 1982129706. The provider is registered as an organization entity type.

The provider's business location address is:

1304 SUNSET BLVD # 203248
WEST COLUMBIA, SC
ZIP 29169-914
Phone: (866) 374-6628
Fax: (866) 951-1120

The provider's authorized official is Kelly Mcclintock .
The authorized official title is Compliance Officer and has the following contact phone number (866) 374-6628.

The enumeration date for this NPI number is 8/14/2017 and was last updated on 6/6/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical SpecialtyYes

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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