Piedmont Psychiatric Service Pa

LBN: Piedmont Psychiatric Service Pa
Piedmont Psychiatric Service Pa is an health care organization with primary practice located at 2094 Woodruff Rd , Greenville SC 29607-5939. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Piedmont Psychiatric Service Pa can be contacted via phone (864) 676-9211, or through Goodbar, Tony via phone (864) 676-9211.

Contact Information

Primary practice address
2094 Woodruff Rd Greenville SC 29607-5939
Phone: (864) 676-9211
Fax: (864) 676-9432
Website:
Map and Directions
Authorized official contact:
Name: Goodbar, Tony Doctor of Medicine (MD)
Phone: (864) 676-9211

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 14711 South Carolina

Profile Details

NPI number 1164481867
LBN Legal business name Piedmont Psychiatric Service Pa
DBA Doing business as
Authorized official Goodbar, Tony Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2006
Last updated Feb 3rd, 2011 - about 15 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 1164481867 NPPES
South Carolina MEDICAID GP2107

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