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Contact Information

SELF REGIONAL HEALTHCARE
1015 SPRING ST
GREENWOOD, SC29646-3831
 Phone: 864-227-6741
 Fax: 864-227-2046
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SELF REGIONAL HEALTHCARE

NPI # 1710786066
LBN Legal business name SELF REGIONAL HEALTHCARE
Authorized official MATTHEW LOGAN - (PRESIDENT & CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/10/2025
Last updated 03/10/2025 - More than a year 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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