Healthsource Of Orangeburg Llc

LBN: Healthsource Of Orangeburg Llc
Healthsource Of Orangeburg Llc is an health care organization with primary practice located at 857 Holly Street , Orangeburg SC 29115. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Healthsource Of Orangeburg Llc can be contacted via phone (803) 535-0220, or through Cooper, Kayla via phone (803) 535-0220.

Contact Information

Primary practice address
857 Holly Street Orangeburg SC 29115
Fax:
Website:
Authorized official contact:
Name: Cooper, Kayla Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3600 South Carolina

Profile Details

NPI number 1710202288
LBN Legal business name Healthsource Of Orangeburg Llc
DBA Doing business as
Authorized official Cooper, Kayla Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2010
Last updated May 27th, 2014 - about 10 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 1710202288 NPPES
South Carolina MEDICAID CH2544

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