Walmart Care Clinic 10-1339

LBN: Wal-Mart Stores East, Lp
Walmart Care Clinic 10-1339 is an health care organization with primary practice located at 10060 Two Notch Rd , Columbia SC 29223-4396. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as the primary health care specialty. Wal-Mart Stores East, Lp can be contacted via phone (803) 567-6338, or through Levine, Laura via phone (479) 204-8550.

Contact Information

Primary practice address
10060 Two Notch Rd Columbia SC 29223-4396
Phone: (803) 567-6338
Fax: (803) 736-6204
Website:
Map and Directions
Authorized official contact:
Name: Levine, Laura
Phone: (479) 204-8550

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1104227982
LBN Legal business name Wal-Mart Stores East, Lp
DBA Doing business as Walmart Care Clinic 10-1339
Authorized official Levine, Laura
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 11th, 2014
Last updated Feb 19th, 2015 - about 11 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 1104227982 NPPES
South Carolina Other D953 MEDICARE PTAN
South Carolina MEDICAID GP6567 MEDICARE PTAN

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