Family Healthcare Newberry, A Division Of Self Medical Group
LBN: Self Medical Group
Family Healthcare Newberry, A Division Of Self Medical Group is an health care organization with primary practice located at 2605 Kinard Street Suite 200, Newberry SC 29108-2967. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
Self Medical Group can be contacted via phone (803) 405-1900, or through Logan, Matthew T via phone (864) 725-4253.
Contact Information
Primary practice address
2605 Kinard Street Suite 200
Newberry SC 29108-2967
Phone: (803) 405-1900
Fax: (803) 405-1919
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | RHC208 | South Carolina |
Profile Details
| NPI number | 1477880003 |
|---|---|
| LBN Legal business name | Self Medical Group |
| DBA Doing business as | Family Healthcare Newberry, A Division Of Self Medical Group |
| Authorized official | Logan, Matthew T Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 3rd, 2009 |
| Last updated | Dec 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477880003 | NPPES |
| South Carolina | MEDICAID | GP5316 |
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