Cofa, Llc
LBN: Cofa, Llc
Cofa, Llc is an health care organization with primary practice located at 106 E Thomas St , Lake City SC 29560-2639. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty.
Cofa, Llc can be contacted via phone (843) 229-8504, or through Williams, Kelvin via phone (843) 229-8504.
Contact Information
Primary practice address
106 E Thomas St
Lake City SC 29560-2639
Phone: (843) 229-8504
Fax: (843) 374-2632
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 55 | South Carolina |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 213469 | South Carolina |
Profile Details
| NPI number | 1639384761 |
|---|---|
| LBN Legal business name | Cofa, Llc |
| DBA Doing business as | |
| Authorized official | Williams, Kelvin |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 11th, 2007 |
| Last updated | Jan 17th, 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 | 1639384761 | NPPES |
| South Carolina | MEDICAID | GP3880 | |
| South Carolina | MEDICAID | GP4013 |
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