Kershawhealth Primary Care At Camden

LBN: Kershawhealth
Kershawhealth Primary Care At Camden is an health care organization with primary practice located at 1111 Mill St , Camden SC 29020-3763. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Kershawhealth can be contacted via phone (803) 432-4311, or through Bunch, Michael L via phone (803) 713-2496.

Contact Information

Primary practice address
1111 Mill St Camden SC 29020-3763
Phone: (803) 432-4311
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bunch, Michael L
Phone: (803) 713-2496

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X HTL 0101 South Carolina

Profile Details

NPI number 1164834487
LBN Legal business name Kershawhealth
DBA Doing business as Kershawhealth Primary Care At Camden
Authorized official Bunch, Michael L
Entity Organization
Organization subpart 1 Yes
Enumeration date May 21st, 2014
Last updated May 21st, 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 1164834487 NPPES
South Carolina Other 3410 MEDICARE PTAN #
South Carolina MEDICAID 400480 MEDICARE PTAN #

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