Hope Clinic Llc

LBN: Hope Clinic Llc
Hope Clinic Llc is an health care organization with primary practice located at 110 Executive Pkwy , Moncks Corner SC 29461-3930. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Hope Clinic Llc can be contacted via phone (843) 899-9099, or through Wagner, Asante via phone (843) 408-4171.

Contact Information

Primary practice address
110 Executive Pkwy Moncks Corner SC 29461-3930
Phone: (843) 899-9099
Fax: (888) 318-5567
Website:
Map and Directions
Authorized official contact:
Name: Wagner, Asante
Phone: (843) 408-4171

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20234 South Carolina

Profile Details

NPI number 1144299470
LBN Legal business name Hope Clinic Llc
DBA Doing business as Hope Clinic Llc
Authorized official Wagner, Asante
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2006
Last updated Jun 9th, 2017 - about 8 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 1144299470 NPPES
South Carolina MEDICAID 202346
South Carolina Other 4225947
South Carolina MEDICAID GP3438

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