Olanta Family Care

LBN: Pee Dee Healthcare Pa
Olanta Family Care is an health care organization with primary practice located at 211 South Jones Road , Olanta SC 29114. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Pee Dee Healthcare Pa can be contacted via phone (843) 396-9730, or through Megna, Tony R via phone (803) 799-1700.

Contact Information

Primary practice address
211 South Jones Road Olanta SC 29114
Phone: (843) 396-9730
Fax: (843) 396-9735
Website:
Map and Directions
Authorized official contact:
Name: Megna, Tony R JP
Phone: (803) 799-1700

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1518064229
LBN Legal business name Pee Dee Healthcare Pa
DBA Doing business as Olanta Family Care
Authorized official Megna, Tony R JP
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2006
Last updated Mar 5th, 2008 - about 17 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 1518064229 NPPES
South Carolina MEDICAID RHC126

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