Foothills Urology

LBN: Foothills Urology
Foothills Urology is an health care organization with primary practice located at 403 Hillcrest Dr Suite A, Easley SC 29640-1207. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Foothills Urology can be contacted via phone (864) 855-6811, or through Nickles, Mary K via phone (864) 855-6811.

Contact Information

Primary practice address
403 Hillcrest Dr Suite A Easley SC 29640-1207
Phone: (864) 855-6811
Fax: (864) 855-6784
Website:
Map and Directions
Authorized official contact:
Name: Nickles, Mary K MBA
Phone: (864) 855-6811

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 7514 South Carolina

Profile Details

NPI number 1376715797
LBN Legal business name Foothills Urology
DBA Doing business as
Authorized official Nickles, Mary K MBA
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2008
Last updated Mar 26th, 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 1376715797 NPPES
South Carolina MEDICAID GP0270

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