Northlake Family Practice

LBN: Northlake Family Practice
Northlake Family Practice is an health care organization with primary practice located at 115 Blarney Dr Suite 101 C, Columbia SC 29223-6291. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Northlake Family Practice can be contacted via phone (803) 419-5131, or through Ramos, Robert via phone (803) 622-3559.

Contact Information

Primary practice address
115 Blarney Dr Suite 101 C Columbia SC 29223-6291
Phone: (803) 419-5131
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ramos, Robert Doctor of Medicine (MD)
Phone: (803) 622-3559

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X 19001 South Carolina

Profile Details

NPI number 1336684851
LBN Legal business name Northlake Family Practice
DBA Doing business as
Authorized official Ramos, Robert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2016
Last updated Dec 20th, 2016 - 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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