St George Med Cntr Phcy

LBN: St George Med Cntr Phcy
St George Med Cntr Phcy is an health care organization with primary practice located at 401 Ridge St , Saint George SC 29477-2451. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy. Suppliers / Pharmacy is the primary health care specialty. St George Med Cntr Phcy can be contacted via phone (843) 636-9130, or through Kennedy, Arthur via phone (803) 531-6900.

Contact Information

Primary practice address
401 Ridge St Saint George SC 29477-2451
Phone: (843) 636-9130
Fax: (843) 563-8229
Website:
Map and Directions
Authorized official contact:
Name: Kennedy, Arthur RPH
Phone: (803) 531-6900

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 50008540 South Carolina
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1972547289
LBN Legal business name St George Med Cntr Phcy
DBA Doing business as
Authorized official Kennedy, Arthur RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 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 1972547289 NPPES
Other 4226230 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 785406 OTHER ID NUMBER-COMMERCIAL NUMBER

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