Grand Strand Senior Health Center, Llc

LBN: Grand Strand Senior Health Center, Llc
Grand Strand Senior Health Center, Llc is an health care organization with primary practice located at 5046 Highway 17 Byp S Suite 100, Myrtle Beach SC 29588-4503. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Grand Strand Senior Health Center, Llc can be contacted via phone (843) 839-6192, or through Birmingham, Patrick via phone (615) 373-7625.

Contact Information

Primary practice address
5046 Highway 17 Byp S Suite 100 Myrtle Beach SC 29588-4503
Phone: (843) 839-6192
Fax: (843) 839-6164
Website:
Map and Directions
Authorized official contact:
Name: Birmingham, Patrick
Phone: (615) 373-7625

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1649269085
LBN Legal business name Grand Strand Senior Health Center, Llc
DBA Doing business as
Authorized official Birmingham, Patrick
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2005
Last updated Jan 23rd, 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 1649269085 NPPES
South Carolina MEDICAID GP3814

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