Carolina Medical Group
LBN: Richland Community Health Care Association
Carolina Medical Group is an health care organization with primary practice located at 3010 Farrow Rd Suite 230, Columbia SC 29203-7607. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Richland Community Health Care Association can be contacted via phone (803) 799-1284, or through Bryson, Helen via phone (803) 799-8407.
Contact Information
Primary practice address
3010 Farrow Rd Suite 230
Columbia SC 29203-7607
Phone: (803) 799-1284
Fax: (803) 799-8148
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 20390 | South Carolina |
Profile Details
| NPI number | 1013939529 |
|---|---|
| LBN Legal business name | Richland Community Health Care Association |
| DBA Doing business as | Carolina Medical Group |
| Authorized official | Bryson, Helen |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Apr 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013939529 | NPPES |
| South Carolina | MEDICAID | FQC030 | |
| South Carolina | MEDICAID | GP4435 | |
| South Carolina | MEDICAID | CBP006 | |
| South Carolina | MEDICAID | FQC043 |
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