Moore Orthopaedic Clinic

LBN: Providence Orthopaedic Group Llc
Moore Orthopaedic Clinic is an health care organization with primary practice located at 14 Medical Park Rd Suite 200, Columbia SC 29203-6877. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Providence Orthopaedic Group Llc can be contacted via phone (803) 227-8152, or through Mcnally, Sean P. via phone (803) 227-8152.

Contact Information

Primary practice address
14 Medical Park Rd Suite 200 Columbia SC 29203-6877
Fax: (803) 227-8011
Website:
Authorized official contact:
Name: Mcnally, Sean P.

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 570521956 South Carolina

Profile Details

NPI number 1255308342
LBN Legal business name Providence Orthopaedic Group Llc
DBA Doing business as Moore Orthopaedic Clinic
Authorized official Mcnally, Sean P.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2006
Last updated Oct 22nd, 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 1255308342 NPPES
South Carolina MEDICAID PA0686
South Carolina Other DM0194
South Carolina Other 0497990001

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