74 Polo Road, Llc

LBN: 74 Polo Road, Llc
74 Polo Road, Llc is an health care organization with primary practice located at 74 Polo Rd , Columbia SC 29223-2806. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. 74 Polo Road, Llc can be contacted via phone (803) 419-7780, or through Lehrich, Jeff via phone (480) 235-7788.

Contact Information

Primary practice address
74 Polo Rd Columbia SC 29223-2806
Phone: (803) 419-7780
Fax: (803) 419-7781
Website:
Map and Directions
Authorized official contact:
Name: Lehrich, Jeff
Phone: (480) 235-7788

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 20381 South Carolina

Profile Details

NPI number 1093262628
LBN Legal business name 74 Polo Road, Llc
DBA Doing business as
Authorized official Lehrich, Jeff
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 1st, 2016
Last updated Sep 1st, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093262628 NPPES
South Carolina Other PENDING MEDICARE AND MEDICAID PENDING

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