<Unavail>

LBN: Providence Hospital, Llc
<Unavail> 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:
Map and Directions
Authorized official contact:
Name: Teague, Kathy J.
Phone: (615) 920-7000

Health care specialties

SpecialtyCodeLicense #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 <Unavail>
Authorized official Teague, Kathy J.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2005
Last updated Mar 22nd, 2021 - about 5 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 1003811290 NPPES
South Carolina MEDICAID 274472
South Carolina MEDICAID 429453

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