The Foot Clinic

LBN: Ksf Llc
The Foot Clinic is an health care organization with primary practice located at 1025 W Meeting St Suite 200, Lancaster SC 29720-2204. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Ksf Llc can be contacted via phone (803) 285-7948, or through Shealy, Keith D via phone (803) 825-7948.

Contact Information

Primary practice address
1025 W Meeting St Suite 200 Lancaster SC 29720-2204
Fax: (803) 283-4329
Website:
Authorized official contact:
Name: Shealy, Keith D Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 0716208 South Carolina

Profile Details

NPI number 1023207560
LBN Legal business name Ksf Llc
DBA Doing business as The Foot Clinic
Authorized official Shealy, Keith D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2007
Last updated Oct 10th, 2023 - about last year

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 1023207560 NPPES
South Carolina Other 6028500001 MEDICARE DME (PTAN)
South Carolina MEDICAID DE3106 MEDICARE DME (PTAN)

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