The Foot Store

LBN: Playmakers Iii Llc
The Foot Store is an health care organization with primary practice located at 1909 Hwy 17N Suite S, Mount Pleasant SC 29464. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Playmakers Iii Llc can be contacted via phone (843) 849-1108, or through Varndell, Carolyn Roberta via phone (843) 849-1108.

Contact Information

Primary practice address
1909 Hwy 17N Suite S Mount Pleasant SC 29464
Phone: (843) 849-1108
Fax: (843) 849-1170
Website:
Map and Directions
Authorized official contact:
Name: Varndell, Carolyn Roberta CPED ATC
Phone: (843) 849-1108

Health care specialties

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

Profile Details

NPI number 1043244031
LBN Legal business name Playmakers Iii Llc
DBA Doing business as The Foot Store
Authorized official Varndell, Carolyn Roberta CPED ATC
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1043244031 NPPES
South Carolina MEDICAID DE2008

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