Palmetto Pediatrics North Grove
LBN: Spartanburg Regional Med Ctr
Palmetto Pediatrics North Grove is an health care organization with primary practice located at 1330 Boiling Springs Road Suite 1300, Spartanburg SC 29303-4204. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty.
Spartanburg Regional Med Ctr can be contacted via phone (864) 560-6345, or through Meinke, Kenneth via phone (864) 560-6000.
Contact Information
Primary practice address
1330 Boiling Springs Road Suite 1300
Spartanburg SC 29303-4204
Phone: (864) 560-6345
Fax: (864) 560-6054
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X |
Profile Details
| NPI number | 1679514418 |
|---|---|
| LBN Legal business name | Spartanburg Regional Med Ctr |
| DBA Doing business as | Palmetto Pediatrics North Grove |
| Authorized official | Meinke, Kenneth |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Dec 9th, 2014 - about 11 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 | 1679514418 | NPPES |
| North Carolina | MEDICAID | 5908005 | |
| North Carolina | MEDICAID | GP1118 | |
| North Carolina | MEDICAID | GP5634 |
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