City Of Goose Creek

LBN: City Of Goose Creek
City Of Goose Creek is an health care organization with primary practice located at 519 N Goose Creek Blvd , Goose Creek SC 29445-2962. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. City Of Goose Creek can be contacted via phone (843) 553-8350, or through Faretra, Ronald R. via phone (843) 797-6220.

Contact Information

Primary practice address
519 N Goose Creek Blvd Goose Creek SC 29445-2962
Phone: (843) 553-8350
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Faretra, Ronald R.
Phone: (843) 797-6220

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 18201 South Carolina

Profile Details

NPI number 1417954587
LBN Legal business name City Of Goose Creek
DBA Doing business as
Authorized official Faretra, Ronald R.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2005
Last updated Oct 18th, 2012 - about 12 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 1417954587 NPPES
South Carolina MEDICAID 502897

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