Providence Hospital Crnas

LBN: Sisters Of Charity Providence Hospitals
Providence Hospital Crnas is an health care organization with primary practice located at 2435 Forest Drive , Columbia SC 29204. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as the primary health care specialty. Sisters Of Charity Providence Hospitals can be contacted via phone (803) 454-2613, or through Outlaw, Jho R. via phone (803) 454-2600.

Contact Information

Primary practice address
2435 Forest Drive Columbia SC 29204
Phone: (803) 454-2613
Fax: (803) 765-1732
Website:
Map and Directions
Authorized official contact:
Name: Outlaw, Jho R.
Phone: (803) 454-2600

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X

Profile Details

NPI number 1194796607
LBN Legal business name Sisters Of Charity Providence Hospitals
DBA Doing business as Providence Hospital Crnas
Authorized official Outlaw, Jho R.
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 1st, 2006
Last updated May 27th, 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 1194796607 NPPES
South Carolina MEDICAID GP3278

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