Providence Health
LBN: Providence Hospital, Llc
Providence Health is an health care organization with primary practice located at 2435 Forest Dr , Columbia SC 29204-2026. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Ambulatory Surgical, Hospitals / General Acute Care Hospital. Hospitals / General Acute Care Hospital is the primary health care specialty.
Providence Hospital, Llc can be contacted via phone (803) 256-5300, or through Teague, Kathy J. via phone (615) 920-7000.
Contact Information
Primary practice address
2435 Forest Dr
Columbia SC 29204-2026
Phone: (803) 256-5300
Fax: (803) 256-5935
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | ASF058 | South Carolina |
| Hospitals / General Acute Care Hospital | 282N00000X | HTL820 | South Carolina |
| Hospitals / General Acute Care Hospital | 282N00000X | HTL821 | South Carolina |
Profile Details
| NPI number | 1003811290 |
|---|---|
| LBN Legal business name | Providence Hospital, Llc |
| DBA Doing business as | Providence Health |
| Authorized official | Teague, Kathy J. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Mar 22nd, 2021 - about 4 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 | 1003811290 | NPPES |
| South Carolina | MEDICAID | 274472 | |
| South Carolina | MEDICAID | 429453 |
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