Providence Women'S Health

LBN: Augustine Health Group, Llc
Providence Women'S Health is an health care organization with primary practice located at 114 Gateway Corporate Blvd Suite 350, Columbia SC 29203-9740. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Augustine Health Group, Llc can be contacted via phone (803) 788-0268, or through Haithcock, Angela S via phone (803) 865-4780.

Contact Information

Primary practice address
114 Gateway Corporate Blvd Suite 350 Columbia SC 29203-9740
Phone: (803) 788-0268
Fax: (803) 788-7384
Website:
Map and Directions
Authorized official contact:
Name: Haithcock, Angela S
Phone: (803) 865-4780

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 21388 South Carolina

Profile Details

NPI number 1811017296
LBN Legal business name Augustine Health Group, Llc
DBA Doing business as Providence Women'S Health
Authorized official Haithcock, Angela S
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2007
Last updated Feb 1st, 2012 - about 12 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 1811017296 NPPES
South Carolina MEDICAID GP4125

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