Palmetto Brace Shop Inc

LBN: Palmetto Brace Shop Inc
Palmetto Brace Shop Inc is an health care organization with primary practice located at 1910 Hampton Street , Columbia SC 29201. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Palmetto Brace Shop Inc can be contacted via phone (803) 254-1632, or through Derrick, Charles N via phone (803) 254-1632.

Contact Information

Primary practice address
1910 Hampton Street Columbia SC 29201
Phone: (803) 254-1632
Fax: (803) 254-0922
Website:
Map and Directions
Authorized official contact:
Name: Derrick, Charles N
Phone: (803) 254-1632

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1497722565
LBN Legal business name Palmetto Brace Shop Inc
DBA Doing business as
Authorized official Derrick, Charles N
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2006
Last updated Aug 22nd, 2020 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1497722565 NPPES
South Carolina MEDICAID 540515

Popular Providers