Providence Urology Specialists

LBN: Providence Physician Practices, Llc
Providence Urology Specialists is an health care organization with primary practice located at 114 Gateway Corporate Blvd Ste 440 , Columbia SC 29203-9785. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is the primary health care specialty. Providence Physician Practices, Llc can be contacted via phone (803) 365-8620, or through Miller, Sara L via phone (615) 920-7514.

Contact Information

Primary practice address
114 Gateway Corporate Blvd Ste 440 Columbia SC 29203-9785
Phone: (803) 365-8620
Fax: (803) 365-8629
Website:
Map and Directions
Authorized official contact:
Name: Miller, Sara L
Phone: (615) 920-7514

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1659885754
LBN Legal business name Providence Physician Practices, Llc
DBA Doing business as Providence Urology Specialists
Authorized official Miller, Sara L
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2017
Last updated Dec 17th, 2018 - about 6 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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