Wagener Medical Center

LBN: Carolina Rural Practice Management, Inc.
Wagener Medical Center is an health care organization with primary practice located at 120 Louie Street , Wagener SC 29164-0098. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Carolina Rural Practice Management, Inc. can be contacted via phone (803) 564-6497, or through Alsbrooks, Charlie Clifton via phone (803) 641-6277.

Contact Information

Primary practice address
120 Louie Street Wagener SC 29164-0098
Phone: (803) 564-6497
Fax: (803) 564-6498
Website:
Map and Directions
Authorized official contact:
Name: Alsbrooks, Charlie Clifton
Phone: (803) 641-6277

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X 08504 South Carolina

Profile Details

NPI number 1811020183
LBN Legal business name Carolina Rural Practice Management, Inc.
DBA Doing business as Wagener Medical Center
Authorized official Alsbrooks, Charlie Clifton
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2007
Last updated Jul 12th, 2007 - about 18 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 1811020183 NPPES
South Carolina MEDICAID RHC025

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