Northeast Family Practice

LBN: Palmetto Health
Northeast Family Practice is an health care organization with primary practice located at 3000 Ne Medical Park Suite 209, Columbia SC 29223-6251. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Palmetto Health can be contacted via phone (803) 736-6262, or through Coven, Darrell C via phone (803) 296-7301.

Contact Information

Primary practice address
3000 Ne Medical Park Suite 209 Columbia SC 29223-6251
Phone: (803) 736-6262
Fax: (803) 699-1934
Website:
Map and Directions
Authorized official contact:
Name: Coven, Darrell C
Phone: (803) 296-7301

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1659316743
LBN Legal business name Palmetto Health
DBA Doing business as Northeast Family Practice
Authorized official Coven, Darrell C
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 20th, 2006
Last updated Dec 27th, 2007 - about 18 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 1659316743 NPPES
South Carolina MEDICAID GP0039

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