Providence Family Practice Llc

LBN: Providence Family Practice Llc
Providence Family Practice Llc is an health care organization with primary practice located at 2750 Laurel St Suite 103, Columbia SC 29204-2023. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Providence Family Practice Llc can be contacted via phone (803) 254-5171, or through Henderson, Frampton W via phone (803) 254-5171.

Contact Information

Primary practice address
2750 Laurel St Suite 103 Columbia SC 29204-2023
Phone: (803) 254-5171
Fax: (803) 779-7403
Website:
Map and Directions
Authorized official contact:
Name: Henderson, Frampton W Doctor of Medicine (MD)
Phone: (803) 254-5171

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 8387 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 13507 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21987 South Carolina

Profile Details

NPI number 1528066115
LBN Legal business name Providence Family Practice Llc
DBA Doing business as
Authorized official Henderson, Frampton W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2005
Last updated Jun 23rd, 2010 - about 14 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 1528066115 NPPES
South Carolina MEDICAID GP2164
South Carolina Other CM5571

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