Due West Family Medicine Pa

LBN: Due West Family Medicine Pa
Due West Family Medicine Pa is an health care organization with primary practice located at 6 College St , Due West SC 29639. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Due West Family Medicine Pa can be contacted via phone (864) 379-2345, or through Henry, Brian Nelson via phone (864) 379-2345.

Contact Information

Primary practice address
6 College St Due West SC 29639
Phone: (864) 379-2345
Fax: (864) 379-3228
Website:
Map and Directions
Authorized official contact:
Name: Henry, Brian Nelson Doctor of Medicine (MD)
Phone: (864) 379-2345

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X South Carolina

Profile Details

NPI number 1265508550
LBN Legal business name Due West Family Medicine Pa
DBA Doing business as
Authorized official Henry, Brian Nelson Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2006
Last updated Jan 17th, 2013 - about 12 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 1265508550 NPPES
South Carolina MEDICAID RHC074

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