Capeside Addiction Care, Pllc

LBN: Capeside Addiction Care, Pllc
Capeside Addiction Care, Pllc is an health care organization with primary practice located at 4889 Highway 17 Byp S , Myrtle Beach SC 29577-6683. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as the primary health care specialty. Capeside Addiction Care, Pllc can be contacted via phone (843) 584-7011, or through Beasley, William via phone (910) 791-6767.

Contact Information

Primary practice address
4889 Highway 17 Byp S Myrtle Beach SC 29577-6683
Phone: (843) 584-7011
Fax: (843) 945-1355
Website:
Map and Directions
Authorized official contact:
Name: Beasley, William
Phone: (910) 791-6767

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X

Profile Details

NPI number 1093280620
LBN Legal business name Capeside Addiction Care, Pllc
DBA Doing business as
Authorized official Beasley, William
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2018
Last updated Oct 10th, 2018 - about 7 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 1093280620 NPPES
North Carolina MEDICAID 1255323622

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