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Contact Information

SELF REGIONAL HEALTHCARE
115 ACADEMY AVE
GREENWOOD, SC29646-3869
 Phone: 864-725-7272
 Fax: 864-725-5799
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Neurocritical Care

2084A2900X 86 Physician/Neuropsychiatry
 

Neurology

2084N0400X 13 Physician/Neurology
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SELF REGIONAL HEALTHCARE

NPI Number 1538036314
LBN Legal business name SELF REGIONAL HEALTHCARE
Authorized official MATTHEW LOGAN - (PRESIDENT & CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/17/2025
Last updated 05/15/2026 - About 3 weeks ago
Identifiers n/a
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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