Edgefield Medical Clinic Pa

LBN: Edgefield Medical Clinic Pa
Edgefield Medical Clinic Pa is an health care organization with primary practice located at 200 Ridge Medical Plaza Rd , Edgefield SC 29824-4530. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Edgefield Medical Clinic Pa can be contacted via phone (803) 637-3146, or through Reel, Mari M via phone (803) 637-3146.

Contact Information

Primary practice address
200 Ridge Medical Plaza Rd Edgefield SC 29824-4530
Phone: (803) 637-3146
Fax: (803) 637-3169
Website:
Map and Directions
Authorized official contact:
Name: Reel, Mari M
Phone: (803) 637-3146

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1649387077
LBN Legal business name Edgefield Medical Clinic Pa
DBA Doing business as
Authorized official Reel, Mari M
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2006
Last updated May 15th, 2013 - about 13 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 1649387077 NPPES
South Carolina Other 207Q00000X TAXONOMY
South Carolina MEDICAID PA0267 TAXONOMY

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