Gross Family Practice Llc

LBN: Gross Family Practice Llc
Gross Family Practice Llc is an health care organization with primary practice located at 970 Holly St , Orangeburg SC 29115-4930. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Gross Family Practice Llc can be contacted via phone (803) 531-2722, or through Gross, Rachael E via phone (803) 531-2722.

Contact Information

Primary practice address
970 Holly St Orangeburg SC 29115-4930
Phone: (803) 531-2722
Fax: (803) 531-2743
Website:
Map and Directions
Authorized official contact:
Name: Gross, Rachael E Doctor of Osteopathy (DO)
Phone: (803) 531-2722

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1417174806
LBN Legal business name Gross Family Practice Llc
DBA Doing business as
Authorized official Gross, Rachael E Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2007
Last updated Apr 21st, 2009 - 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 1417174806 NPPES
South Carolina MEDICAID T00617

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