Pilot Club Lifeline

LBN: Pilot Club Of Columbia Foundation Inc
Pilot Club Lifeline is an health care organization with primary practice located at 1746 Westminster Dr , Columbia SC 29204. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Pilot Club Of Columbia Foundation Inc can be contacted via phone (803) 254-2673, or through Brinson, Buck via phone (803) 765-0574.

Contact Information

Primary practice address
1746 Westminster Dr Columbia SC 29204
Phone: (803) 254-2673
Fax: (803) 252-3649
Website:
Map and Directions
Authorized official contact:
Name: Brinson, Buck
Phone: (803) 765-0574

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1851376180
LBN Legal business name Pilot Club Of Columbia Foundation Inc
DBA Doing business as Pilot Club Lifeline
Authorized official Brinson, Buck
Entity Organization
Organization subpart 1 No
Enumeration date Dec 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851376180 NPPES
South Carolina MEDICAID DME774

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