Coastal Kidney Center Pa
LBN: Coastal Kidney Center Pa
Coastal Kidney Center Pa is an health care organization with primary practice located at 834 Farrar Drive , Conway SC 29526. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty.
Coastal Kidney Center Pa can be contacted via phone (843) 347-9487, or through Elms, John Jay via phone (843) 347-9487.
Contact Information
Primary practice address
834 Farrar Drive
Conway SC 29526
Phone: (843) 347-9487
Fax: (843) 347-9574
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 17448 | South Carolina |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 22373 | South Carolina |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 985 | South Carolina |
Profile Details
| NPI number | 1801961537 |
|---|---|
| LBN Legal business name | Coastal Kidney Center Pa |
| DBA Doing business as | |
| Authorized official | Elms, John Jay Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Apr 20th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801961537 | NPPES |
| South Carolina | MEDICAID | GP1049 |
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