Pediatric Urology

LBN: Palmetto Health
Pediatric Urology is an health care organization with primary practice located at 9 Richland Medical Park Suite 420, Columbia SC 29203-6859. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Palmetto Health can be contacted via phone (803) 434-2833, or through Coven, Darrell C via phone (803) 296-7301.

Contact Information

Primary practice address
9 Richland Medical Park Suite 420 Columbia SC 29203-6859
Phone: (803) 434-2833
Fax: (803) 434-2834
Website:
Map and Directions
Authorized official contact:
Name: Coven, Darrell C
Phone: (803) 296-7301

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1568407823
LBN Legal business name Palmetto Health
DBA Doing business as Pediatric Urology
Authorized official Coven, Darrell C
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 19th, 2006
Last updated Jan 2nd, 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 1568407823 NPPES
South Carolina MEDICAID GP4066

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