Providence Family Medicine Cayce

LBN: Augustine Health Group, Llc
Providence Family Medicine Cayce is an health care organization with primary practice located at 190 Knox Abbott Dr Suite 3-C, Cayce SC 29033-4348. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Augustine Health Group, Llc can be contacted via phone (803) 865-4780, or through Haithcock, Angela via phone (803) 865-4780.

Contact Information

Primary practice address
190 Knox Abbott Dr Suite 3-C Cayce SC 29033-4348
Phone: (803) 865-4780
Fax: (803) 865-4932
Website:
Map and Directions
Authorized official contact:
Name: Haithcock, Angela
Phone: (803) 865-4780

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X South Carolina

Profile Details

NPI number 1639463771
LBN Legal business name Augustine Health Group, Llc
DBA Doing business as Providence Family Medicine Cayce
Authorized official Haithcock, Angela
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 7th, 2011
Last updated Jun 7th, 2011 - about 14 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 1639463771 NPPES
South Carolina Other DA2264 RAILROAD MEDICARE GROUP #

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