Providence Cardiology

LBN: Providence Cardiology Llc
Providence Cardiology is an health care organization with primary practice located at 3103 Sunset Blvd , West Columbia SC 29169-4817. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Providence Cardiology Llc can be contacted via phone (803) 794-3950, or through Koenig, Kathleen L via phone (803) 254-3278.

Contact Information

Primary practice address
3103 Sunset Blvd West Columbia SC 29169-4817
Phone: (803) 794-3950
Fax: (803) 739-1485
Website:
Map and Directions
Authorized official contact:
Name: Koenig, Kathleen L
Phone: (803) 254-3278

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1083995641
LBN Legal business name Providence Cardiology Llc
DBA Doing business as Providence Cardiology
Authorized official Koenig, Kathleen L
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2011
Last updated Jun 8th, 2012 - about 12 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 1083995641 NPPES
South Carolina MEDICAID GP5822

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