Providence Physical Medicine And Rehabilitation

LBN: Augustine Health Group Llc
Providence Physical Medicine And Rehabilitation is an health care organization with primary practice located at 114 Gateway Corporate Blvd Suite 440, Columbia SC 29203. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as the primary health care specialty. Augustine Health Group Llc can be contacted via phone (803) 865-4780, or through Frame, Regina Joy via phone (803) 865-4780.

Contact Information

Primary practice address
114 Gateway Corporate Blvd Suite 440 Columbia SC 29203
Phone: (803) 865-4780
Fax: (803) 865-4932
Website:
Map and Directions
Authorized official contact:
Name: Frame, Regina Joy
Phone: (803) 865-4780

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X

Profile Details

NPI number 1508036203
LBN Legal business name Augustine Health Group Llc
DBA Doing business as Providence Physical Medicine And Rehabilitation
Authorized official Frame, Regina Joy
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 10th, 2008
Last updated Mar 10th, 2008 - about 17 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 1508036203 NPPES
South Carolina MEDICAID GP4785

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