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Contact Information

SPARTANBURG REGIONAL MED CTR
120 HEYWOOD AVE
SPARTANBURG, SC29302-1210
 Phone: 864-560-3861
 Fax: 864-560-3712
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SPARTANBURG REGIONAL MED CTR

NPI Number 1851332696
LBN Legal business name SPARTANBURG REGIONAL MED CTR
Authorized official SUSAN BRUCE - (CREDENTIALING SPECIALIST)
Entity Organization
Organization subpart 1 No
Enumeration date 06/10/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
SC Medicaid GP1118
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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