Charleston Anesthesia Group Llc

LBN: Charleston Anesthesia Group Llc
Charleston Anesthesia Group Llc is an health care organization with primary practice located at 2095 Henry Tecklenburg Dr , Charleston SC 29414-5733. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Charleston Anesthesia Group Llc can be contacted via phone (843) 402-1000, or through Hilliard, Alan Dale via phone (336) 884-1830.

Contact Information

Primary practice address
2095 Henry Tecklenburg Dr Charleston SC 29414-5733
Fax:
Website:
Authorized official contact:
Name: Hilliard, Alan Dale

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X

Profile Details

NPI number 1578656948
LBN Legal business name Charleston Anesthesia Group Llc
DBA Doing business as
Authorized official Hilliard, Alan Dale
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2006
Last updated Oct 1st, 2013 - about 11 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 1578656948 NPPES
South Carolina Other 122771300 DEPT OF LABOR
South Carolina Other DA3021 DEPT OF LABOR
South Carolina MEDICAID GP3724 DEPT OF LABOR
South Carolina Other 83059945 DEPT OF LABOR

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