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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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