Charleston Medical Arts Center

LBN: Carolina Ctr For Occup Health
Charleston Medical Arts Center is an health care organization with primary practice located at 4600 Goer Dr Ste. 205, North Charleston SC 29406-6500. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Carolina Ctr For Occup Health can be contacted via phone (843) 554-1029, or through Drayton, Herbert via phone (843) 554-1029.

Contact Information

Primary practice address
4600 Goer Dr Ste. 205 North Charleston SC 29406-6500
Fax: (843) 554-1103
Website:
Authorized official contact:
Name: Drayton, Herbert

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 67825 South Carolina

Profile Details

NPI number 1588792030
LBN Legal business name Carolina Ctr For Occup Health
DBA Doing business as Charleston Medical Arts Center
Authorized official Drayton, Herbert
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2007
Last updated Jul 10th, 2007 - about 17 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 1588792030 NPPES
South Carolina MEDICAID GP0280

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