Hartsville Medical Associates Llc
LBN: Hartsville Medical Associates Llc
Hartsville Medical Associates Llc is an health care organization with primary practice located at 206 Swift Creek Rd , Hartsville SC 29550-4383. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Hartsville Medical Associates Llc can be contacted via phone (843) 917-4117, or through Mendez, Luz Yolanda via phone (646) 683-3793.
Contact Information
Primary practice address
206 Swift Creek Rd
Hartsville SC 29550-4383
Phone: (843) 917-4117
Fax:
Website:
Authorized official contact:
Name: Mendez, Luz Yolanda Doctor of Medicine (MD)
Phone: (646) 683-3793
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 32800 | South Carolina |
Profile Details
| NPI number | 1770030926 |
|---|---|
| LBN Legal business name | Hartsville Medical Associates Llc |
| DBA Doing business as | |
| Authorized official | Mendez, Luz Yolanda Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 6th, 2016 |
| Last updated | Jun 13th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770030926 | NPPES |
| South Carolina | MEDICAID | GP7551 | |
| South Carolina | Other | SC12769293 | |
| South Carolina | Other | 1609197623 |
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