Pediatric Evening Clinic

LBN: Pediatric Evening Clinic
Pediatric Evening Clinic is an health care organization with primary practice located at 451A E Saint John St , Spartanburg SC 29302-1623. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Pediatric Evening Clinic can be contacted via phone (864) 591-0311, or through Johns, Ralph H via phone (864) 591-0311.

Contact Information

Primary practice address
451A E Saint John St Spartanburg SC 29302-1623
Phone: (864) 591-0311
Fax: (864) 591-0744
Website:
Map and Directions
Authorized official contact:
Name: Johns, Ralph H Doctor of Medicine (MD)
Phone: (864) 591-0311

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X 17001 South Carolina

Profile Details

NPI number 1467438275
LBN Legal business name Pediatric Evening Clinic
DBA Doing business as
Authorized official Johns, Ralph H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2005
Last updated Aug 22nd, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1467438275 NPPES
South Carolina MEDICAID 170013

Popular Providers