<Unavail>
LBN: Centerwell Senior Primary Care (Sc) Pc
<Unavail> is an health care organization with primary practice located at 1401 Sam Rittenberg Blvd Ste 6 , Charleston SC 29407-5031. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Centerwell Senior Primary Care (Sc) Pc can be contacted via phone (843) 973-5393, or through Martinez, Angie via phone (407) 447-7120.
Contact Information
Primary practice address
1401 Sam Rittenberg Blvd Ste 6
Charleston SC 29407-5031
Phone: (843) 973-5393
Fax: (833) 994-1098
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X |
Profile Details
| NPI number | 1740833938 |
|---|---|
| LBN Legal business name | Centerwell Senior Primary Care (Sc) Pc |
| DBA Doing business as | <Unavail> |
| Authorized official | Martinez, Angie |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 17th, 2019 |
| Last updated | Aug 19th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740833938 | NPPES |
| South Carolina | MEDICAID | GP9169 | |
| South Carolina | Other | L064 |
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