Medical Group Of The Carolinas - Family Medicine - Converse Heights

LBN: Spartanburg Medical Center
Medical Group Of The Carolinas - Family Medicine - Converse Heights is an health care organization with primary practice located at 120 Heywood Ave Suite 200, Spartanburg SC 29302-1210. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Spartanburg Medical Center can be contacted via phone (864) 573-9595, or through Meinke, Kenneth via phone (864) 560-6000.

Contact Information

Primary practice address
120 Heywood Ave Suite 200 Spartanburg SC 29302-1210
Phone: (864) 573-9595
Fax: (864) 585-3752
Website:
Map and Directions
Authorized official contact:
Name: Meinke, Kenneth
Phone: (864) 560-6000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1003900143
LBN Legal business name Spartanburg Medical Center
DBA Doing business as Medical Group Of The Carolinas - Family Medicine - Converse Heights
Authorized official Meinke, Kenneth
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Dec 9th, 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 1003900143 NPPES
North Carolina MEDICAID 89014EG
North Carolina MEDICAID GP5638
North Carolina Other CN1627
North Carolina MEDICAID GP1118

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