Three Rivers Medical Associates, Pa
LBN: Three Rivers Medical Associates, Pa
Three Rivers Medical Associates, Pa is an health care organization with primary practice located at 7430 College St , Irmo SC 29063-2903. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Three Rivers Medical Associates, Pa can be contacted via phone (839) 200-7510, or through Gould, John via phone (839) 200-7510.
Contact Information
Primary practice address
7430 College St
Irmo SC 29063-2903
Phone: (839) 200-7510
Fax: (803) 891-7085
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1760445597 |
|---|---|
| LBN Legal business name | Three Rivers Medical Associates, Pa |
| DBA Doing business as | |
| Authorized official | Gould, John Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Jan 12th, 2022 - about 2 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 | 1760445597 | NPPES |
| South Carolina | Other | CB9366 | RAILROAD MEDICARE |
| South Carolina | MEDICAID | GP1314 | RAILROAD MEDICARE |
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