Hope Clinic - North Charleston

LBN: Hope Clinic Llc
Hope Clinic - North Charleston is an health care organization with primary practice located at 5880 Rivers Ave , North Charleston SC 29406. 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) 725-4673, or through Etikerentse, Temisan L via phone (843) 725-4673.

Contact Information

Primary practice address
5880 Rivers Ave North Charleston SC 29406
Fax: (843) 725-1235
Website:
Authorized official contact:
Name: Etikerentse, Temisan L Doctor of Medicine (MD)

Health care specialties

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

Profile Details

NPI number 1205017860
LBN Legal business name Hope Clinic Llc
DBA Doing business as Hope Clinic - North Charleston
Authorized official Etikerentse, Temisan L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 23rd, 2007
Last updated Mar 7th, 2023 - about 2 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 1205017860 NPPES
South Carolina Other 20234 STATE LICENSE
South Carolina Other 20067813-001 STATE LICENSE
South Carolina MEDICAID GP4815 STATE LICENSE
South Carolina Other 75767 STATE LICENSE
South Carolina Other JB021584 STATE LICENSE

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