Eastside Med Assoc-Senior Health

LBN: Spartanburg Regional Med Ctr
Eastside Med Assoc-Senior Health is an health care organization with primary practice located at 120 Heywood Ave , Spartanburg SC 29302-1210. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty. Spartanburg Regional Med Ctr can be contacted via phone (864) 560-3861, or through Bruce, Susan via phone (864) 560-4304.

Contact Information

Primary practice address
120 Heywood Ave Spartanburg SC 29302-1210
Phone: (864) 560-3861
Fax: (864) 560-3712
Website:
Map and Directions
Authorized official contact:
Name: Bruce, Susan
Phone: (864) 560-4304

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X

Profile Details

NPI number 1851332696
LBN Legal business name Spartanburg Regional Med Ctr
DBA Doing business as Eastside Med Assoc-Senior Health
Authorized official Bruce, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1851332696 NPPES
South Carolina MEDICAID GP1118

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