Palmetto Pediatrics - North Grove

LBN: Spartanburg Regional Med Ctr
Palmetto Pediatrics - North Grove is an health care organization with primary practice located at 1330 Boiling Springs Rd Suite 1300, Spartanburg SC 29303-2244. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Spartanburg Regional Med Ctr can be contacted via phone (864) 560-6345, or through Bruce, Susan via phone (864) 560-4057.

Contact Information

Primary practice address
1330 Boiling Springs Rd Suite 1300 Spartanburg SC 29303-2244
Phone: (864) 560-6345
Fax: (864) 560-6054
Website:
Map and Directions
Authorized official contact:
Name: Bruce, Susan
Phone: (864) 560-4057

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1043267263
LBN Legal business name Spartanburg Regional Med Ctr
DBA Doing business as Palmetto Pediatrics - North Grove
Authorized official Bruce, Susan
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2006
Last updated Aug 22nd, 2020 - about 6 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 1043267263 NPPES
South Carolina MEDICAID GP1118

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