Premier Clinics

LBN: Premier Clinics Of Rock Hill
Premier Clinics is an health care organization with primary practice located at 1609 Constitution Blvd , Rock Hill SC 29732-3047. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Premier Clinics Of Rock Hill can be contacted via phone (803) 326-3000, or through Ekunsanmi, Bamidele A via phone (803) 326-3000.

Contact Information

Primary practice address
1609 Constitution Blvd Rock Hill SC 29732-3047
Fax:
Website:
Authorized official contact:
Name: Ekunsanmi, Bamidele A Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 2019921 South Carolina

Profile Details

NPI number 1407860752
LBN Legal business name Premier Clinics Of Rock Hill
DBA Doing business as Premier Clinics
Authorized official Ekunsanmi, Bamidele A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2006
Last updated Nov 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407860752 NPPES
South Carolina MEDICAID GP3014

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