Montgomery Center For Family Medicine Of Srh

LBN: Self Regional Healthcare
Montgomery Center For Family Medicine Of Srh is an health care organization with primary practice located at 155 Academy Ave , Greenwood SC 29646-3869. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Self Regional Healthcare can be contacted via phone (864) 725-4865, or through Logan, Matthew T via phone (864) 725-4253.

Contact Information

Primary practice address
155 Academy Ave Greenwood SC 29646-3869
Fax: (864) 725-4883
Website:
Authorized official contact:
Name: Logan, Matthew T Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 038 South Carolina

Profile Details

NPI number 1326067703
LBN Legal business name Self Regional Healthcare
DBA Doing business as Montgomery Center For Family Medicine Of Srh
Authorized official Logan, Matthew T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326067703 NPPES
Other CE6182 MEDICARE RR GROUP NUMBER
MEDICAID PC3251 MEDICARE RR GROUP NUMBER

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