Berkeley Medical Center, Llc

LBN: Berkeley Medical Center, Llc
Berkeley Medical Center, Llc is an health care organization with primary practice located at 106 W Main St , Moncks Corner SC 29461-2601. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Berkeley Medical Center, Llc can be contacted via phone (843) 761-1995, or through Gibbs, Rose D. via phone (843) 761-1995.

Contact Information

Primary practice address
106 W Main St Moncks Corner SC 29461-2601
Phone: (843) 761-1995
Fax: (843) 761-3257
Website:
Map and Directions
Authorized official contact:
Name: Gibbs, Rose D.
Phone: (843) 761-1995

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1417137803
LBN Legal business name Berkeley Medical Center, Llc
DBA Doing business as
Authorized official Gibbs, Rose D.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2007
Last updated Mar 28th, 2016 - about 9 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 1417137803 NPPES
South Carolina MEDICAID RHC038

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