Cannon Family Practice - Eastside

LBN: Cannon Memorial Hospital
Cannon Family Practice - Eastside is an health care organization with primary practice located at 111 W. Roper Rd. , Easley SC 29640. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Cannon Memorial Hospital can be contacted via phone (864) 897-8280, or through Rentz, Norman Gene via phone (864) 878-4791.

Contact Information

Primary practice address
111 W. Roper Rd. Easley SC 29640
Phone: (864) 897-8280
Fax: (864) 897-8281
Website:
Map and Directions
Authorized official contact:
Name: Rentz, Norman Gene
Phone: (864) 878-4791

Health care specialties

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

Profile Details

NPI number 1760685143
LBN Legal business name Cannon Memorial Hospital
DBA Doing business as Cannon Family Practice - Eastside
Authorized official Rentz, Norman Gene
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 6th, 2007
Last updated Jul 20th, 2010 - 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 1760685143 NPPES
South Carolina MEDICAID GP4650

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