<Unavail>
LBN: Hope Clinic Llc
<Unavail> is an health care organization with primary practice located at 5880 Rivers Ave , North Charleston SC 29406. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Hope Clinic Llc can be contacted via phone (843) 725-4673, or through Etikerentse, Temisan L via phone (843) 725-4673.
Contact Information
Primary practice address
5880 Rivers Ave
North Charleston SC 29406
Phone: (843) 725-4673
Fax: (843) 725-1235
Website:
Authorized official contact:
Name: Etikerentse, Temisan L Doctor of Medicine (MD)
Phone: (843) 725-4673
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 20234 | South Carolina |
Profile Details
| NPI number | 1205017860 |
|---|---|
| LBN Legal business name | Hope Clinic Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Etikerentse, Temisan L Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Nov 23rd, 2007 |
| Last updated | Mar 7th, 2023 - about 3 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 | 1205017860 | NPPES |
| South Carolina | Other | 20234 | STATE LICENSE |
| South Carolina | Other | 20067813-001 | STATE LICENSE |
| South Carolina | MEDICAID | GP4815 | STATE LICENSE |
| South Carolina | Other | 75767 | STATE LICENSE |
| South Carolina | Other | JB021584 | STATE LICENSE |
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