Lake City Medical Clinic

LBN: Carolinas Medical Alliance, Inc
Lake City Medical Clinic is an health care organization with primary practice located at 101 John St , Lake City SC 29560-2411. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Carolinas Medical Alliance, Inc can be contacted via phone (843) 394-2031, or through Arwood, Sophia L via phone (615) 628-6038.

Contact Information

Primary practice address
101 John St Lake City SC 29560-2411
Phone: (843) 394-2031
Fax: (843) 394-7411
Website:
Map and Directions
Authorized official contact:
Name: Arwood, Sophia L
Phone: (615) 628-6038

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1215157334
LBN Legal business name Carolinas Medical Alliance, Inc
DBA Doing business as Lake City Medical Clinic
Authorized official Arwood, Sophia L
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2007
Last updated Jan 2nd, 2014 - about 10 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 1215157334 NPPES
South Carolina MEDICAID RHC107

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