Springdale Family Practice

LBN: Springdale Family Practice
Springdale Family Practice is an health care organization with primary practice located at 3316 Platt Springs Rd , West Columbia SC 29170-2247. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Springdale Family Practice can be contacted via phone (803) 796-1522, or through Dunn, John Robert via phone (803) 796-1521.

Contact Information

Primary practice address
3316 Platt Springs Rd West Columbia SC 29170-2247
Fax: (803) 794-7061
Website:
Authorized official contact:
Name: Dunn, John Robert Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X SC9312 South Carolina

Profile Details

NPI number 1912065327
LBN Legal business name Springdale Family Practice
DBA Doing business as
Authorized official Dunn, John Robert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 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 1912065327 NPPES
South Carolina MEDICAID GPO325

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