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
Fax: (843) 374-2632
Website:
Authorized official contact:
Name: Williams, Kelvin

Health care specialties

SpecialtyCodeLicense #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 16 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 1639384761 NPPES
South Carolina MEDICAID GP3880
South Carolina MEDICAID GP4013

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