Columbia Oral Health Clinic

LBN: Columbia Oral Health Clinic
Columbia Oral Health Clinic is an health care organization with primary practice located at 3425 Main St , Columbia SC 29203-6434. The organization recently has only one registered license in Agencies / Voluntary or Charitable, which is considered as the primary health care specialty. Columbia Oral Health Clinic can be contacted via phone (803) 799-9457, or through Rynes, Ralph via phone (803) 212-1773.

Contact Information

Primary practice address
3425 Main St Columbia SC 29203-6434
Fax: (803) 799-9458
Website:
Authorized official contact:
Name: Rynes, Ralph PH. D.

Health care specialties

SpecialtyCodeLicense #State
Agencies / Voluntary or Charitable 251V00000X South Carolina

Profile Details

NPI number 1295942480
LBN Legal business name Columbia Oral Health Clinic
DBA Doing business as
Authorized official Rynes, Ralph PH. D.
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1295942480 NPPES
South Carolina MEDICAID ZA9770

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