Palmetto Health Senior Primary Care Practice
LBN: Palmetto Health
Palmetto Health Senior Primary Care Practice is an health care organization with primary practice located at 3010 Farrow Rd Suite 300, Columbia SC 29203-7607. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Hospitals / Critical Access. Allopathic & Osteopathic Physicians / Geriatric Medicine is the primary health care specialty.
Palmetto Health can be contacted via phone (803) 434-1210, or through Jackson, Thomas Wayne via phone (803) 434-1210.
Contact Information
Primary practice address
3010 Farrow Rd Suite 300
Columbia SC 29203-7607
Phone: (803) 434-1210
Fax: (803) 434-1212
Website:
Authorized official contact:
Name: Jackson, Thomas Wayne Doctor of Medicine (MD)
Phone: (803) 434-1210
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | South Carolina | |
| Hospitals / Critical Access | 282NC0060X | South Carolina |
Profile Details
| NPI number | 1962471946 |
|---|---|
| LBN Legal business name | Palmetto Health |
| DBA Doing business as | Palmetto Health Senior Primary Care Practice |
| Authorized official | Jackson, Thomas Wayne Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Mar 4th, 2008 - about 17 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 | 1962471946 | NPPES |
| South Carolina | MEDICAID | GP1537 |
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