Spring Valley Family Practic

LBN: Spring Valley Family Practic
Spring Valley Family Practic is an health care organization with primary practice located at 229 Longtown Rd , Columbia SC 29229-8550. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Spring Valley Family Practic can be contacted via phone (803) 419-4949, or through Jani, Rutkumar via phone (803) 419-4949.

Contact Information

Primary practice address
229 Longtown Rd Columbia SC 29229-8550
Phone: (803) 419-4949
Fax: (803) 419-6445
Website:
Map and Directions
Authorized official contact:
Name: Jani, Rutkumar
Phone: (803) 419-4949

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 15409 South Carolina

Profile Details

NPI number 1205889789
LBN Legal business name Spring Valley Family Practic
DBA Doing business as
Authorized official Jani, Rutkumar
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2006
Last updated Apr 20th, 2008 - about 16 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 1205889789 NPPES
South Carolina MEDICAID 131100
South Carolina MEDICAID 154095
South Carolina MEDICAID T64212

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