South Carolina Heart Center

LBN: Providence Cardiology Llc
South Carolina Heart Center is an health care organization with primary practice located at 2001 Laurel St , Columbia SC 29204-1018. 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) 254-3278, or through Koenig, Kathleen L via phone (803) 254-3278.

Contact Information

Primary practice address
2001 Laurel St Columbia SC 29204-1018
Fax: (803) 376-8010
Website:
Authorized official contact:
Name: Koenig, Kathleen L

Health care specialties

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

Profile Details

NPI number 1265716039
LBN Legal business name Providence Cardiology Llc
DBA Doing business as South Carolina Heart Center
Authorized official Koenig, Kathleen L
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2011
Last updated Jan 19th, 2016 - about 8 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 1265716039 NPPES
South Carolina MEDICAID 2904

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