Rivertown Wellness Center, Llc

LBN: Rivertown Wellness Center, Llc
Rivertown Wellness Center, Llc is an health care organization with primary practice located at 1210 Main St , Conway SC 29526-3633. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Rivertown Wellness Center, Llc can be contacted via phone (843) 488-4300, or through Alford, Siena Shields via phone (843) 488-4300.

Contact Information

Primary practice address
1210 Main St Conway SC 29526-3633
Fax: (843) 488-4301
Website:
Authorized official contact:
Name: Alford, Siena Shields Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 0285 South Carolina

Profile Details

NPI number 1447637327
LBN Legal business name Rivertown Wellness Center, Llc
DBA Doing business as
Authorized official Alford, Siena Shields Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2015
Last updated Apr 30th, 2015 - about 9 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 1447637327 NPPES
South Carolina MEDICAID TL0665
South Carolina Other 42D0940858
South Carolina Other E325848035

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