Lake City Family Medicine Llc
LBN: Lake City Family Medicine Llc
Lake City Family Medicine Llc is an health care organization with primary practice located at 901 N. Matthews Rd. , Lake City SC 29560. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Lake City Family Medicine Llc can be contacted via phone (843) 374-8380, or through Brown, Morris Edward via phone (843) 374-8380.
Contact Information
Primary practice address
901 N. Matthews Rd.
Lake City SC 29560
Phone: (843) 374-8380
Fax:
Website:
Authorized official contact:
Name: Brown, Morris Edward Doctor of Medicine (MD)
Phone: (843) 374-8380
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | South Carolina | |
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | 17100 | South Carolina |
Profile Details
| NPI number | 1396969002 |
|---|---|
| LBN Legal business name | Lake City Family Medicine Llc |
| DBA Doing business as | |
| Authorized official | Brown, Morris Edward Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Mar 16th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396969002 | NPPES |
| South Carolina | Other | RHC175 | RURAL HEALTH CLINIC |
| South Carolina | MEDICAID | GP4692 | RURAL HEALTH CLINIC |
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