Foothills Family Medicine Of Westminster Pa

LBN: Foothills Family Medicine Of Westminster Pa
Foothills Family Medicine Of Westminster Pa is an health care organization with primary practice located at 111 W Main St , Westminster SC 29693-1668. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Foothills Family Medicine Of Westminster Pa can be contacted via phone (864) 647-1820, or through Dickson, Shannon via phone (864) 647-1820.

Contact Information

Primary practice address
111 W Main St Westminster SC 29693-1668
Phone: (864) 647-1820
Fax: (864) 647-0403
Website:
Map and Directions
Authorized official contact:
Name: Dickson, Shannon
Phone: (864) 647-1820

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 11770 South Carolina

Profile Details

NPI number 1710958210
LBN Legal business name Foothills Family Medicine Of Westminster Pa
DBA Doing business as
Authorized official Dickson, Shannon
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2006
Last updated Dec 15th, 2010 - about 14 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 1710958210 NPPES
South Carolina MEDICAID 117705

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