Coastal Vascular & Vein Center Pa

LBN: Coastal Vascular & Vein Center Pa
Coastal Vascular & Vein Center Pa is an health care organization with primary practice located at 1327 Ashley River Rd , Charleston SC 29407-5384. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Suppliers / Prosthetic/Orthotic Supplier. Allopathic & Osteopathic Physicians / Vascular Surgery is the primary health care specialty. Coastal Vascular & Vein Center Pa can be contacted via phone (843) 577-4551, or through Gillum, Laura via phone (843) 300-3588.

Contact Information

Primary practice address
1327 Ashley River Rd Charleston SC 29407-5384
Phone: (843) 577-4551
Fax: (843) 577-2227
Website:
Map and Directions
Authorized official contact:
Name: Gillum, Laura CPC
Phone: (843) 300-3588

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X South Carolina
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1023157575
LBN Legal business name Coastal Vascular & Vein Center Pa
DBA Doing business as
Authorized official Gillum, Laura CPC
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2007
Last updated Oct 28th, 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 1023157575 NPPES
South Carolina Other 610303400 U S DEPARTMENT OF LABOR
South Carolina Other 0489056 U S DEPARTMENT OF LABOR
South Carolina MEDICAID PA1729 U S DEPARTMENT OF LABOR

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