Providence Psychiatric Consults

LBN: Augustine Health Group, Llc
Providence Psychiatric Consults is an health care organization with primary practice located at 114 Gateway Corporate Blvd Suite 425, Columbia SC 29203-9740. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Forensic Psychiatry, which is considered as the primary health care specialty. Augustine Health Group, Llc can be contacted via phone (803) 256-5300, or through Whitaker, Jeremy W. via phone (806) 865-4798.

Contact Information

Primary practice address
114 Gateway Corporate Blvd Suite 425 Columbia SC 29203-9740
Phone: (803) 256-5300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Whitaker, Jeremy W.
Phone: (806) 865-4798

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X 19523 South Carolina

Profile Details

NPI number 1639375199
LBN Legal business name Augustine Health Group, Llc
DBA Doing business as Providence Psychiatric Consults
Authorized official Whitaker, Jeremy W.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2007
Last updated Apr 29th, 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 1639375199 NPPES
South Carolina MEDICAID GP4739

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