Middle Tyger Community Clinic

LBN: Spartanburg Medical Center
Middle Tyger Community Clinic is an health care organization with primary practice located at 84 Groce Rd , Lyman SC 29365-1761. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Spartanburg Medical Center can be contacted via phone (864) 439-7760, or through Meinke, Kenneth via phone (864) 560-6000.

Contact Information

Primary practice address
84 Groce Rd Lyman SC 29365-1761
Phone: (864) 439-7760
Fax: (864) 439-7034
Website:
Map and Directions
Authorized official contact:
Name: Meinke, Kenneth
Phone: (864) 560-6000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1467851006
LBN Legal business name Spartanburg Medical Center
DBA Doing business as Middle Tyger Community Clinic
Authorized official Meinke, Kenneth
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 20th, 2014
Last updated Dec 9th, 2014 - about 12 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 1467851006 NPPES
South Carolina MEDICAID GP6532

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