Epc Of Sumter Foundation, Inc.

LBN: Evening Pilot Club Of Sumter Foundation, Inc.
Epc Of Sumter Foundation, Inc. is an health care organization with primary practice located at 940 Shadow Trail , Sumter SC 29150-2351. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Evening Pilot Club Of Sumter Foundation, Inc. can be contacted via phone (803) 469-8169, or through Habberstad, Verle D via phone (803) 469-8169.

Contact Information

Primary practice address
940 Shadow Trail Sumter SC 29150-2351
Phone: (803) 469-8169
Fax: (803) 469-7140
Website:
Map and Directions
Authorized official contact:
Name: Habberstad, Verle D
Phone: (803) 469-8169

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1023078144
LBN Legal business name Evening Pilot Club Of Sumter Foundation, Inc.
DBA Doing business as Epc Of Sumter Foundation, Inc.
Authorized official Habberstad, Verle D
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2006
Last updated Aug 7th, 2008 - about 18 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 1023078144 NPPES
South Carolina MEDICAID DE1158

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