Pruitthealth - North Augusta

LBN: Pruitthealth - North Augusta Llc
Pruitthealth - North Augusta is an health care organization with primary practice located at 1200 Talisman Drive , North Augusta SC 29841-4032. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Pruitthealth - North Augusta Llc can be contacted via phone (803) 278-2170, or through Pruitt, Neil L via phone (770) 279-6200.

Contact Information

Primary practice address
1200 Talisman Drive North Augusta SC 29841-4032
Fax: (803) 442-9344
Website:
Authorized official contact:
Name: Pruitt, Neil L

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NCF721 South Carolina

Profile Details

NPI number 1790951192
LBN Legal business name Pruitthealth - North Augusta Llc
DBA Doing business as Pruitthealth - North Augusta
Authorized official Pruitt, Neil L
Entity Organization
Organization subpart 1 No
Enumeration date May 6th, 2008
Last updated Jun 27th, 2014 - about 10 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 1790951192 NPPES
South Carolina MEDICAID NF1004
South Carolina MEDICAID V721NF

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