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Contact Information

SPARTANBURG MEDICAL CENTER
391 SERPENTINE DR
SUITE 400, DOCTOR'S CENTER
SPARTANBURG, SC29303-3096
 Phone: 864-560-7517
 Fax: 864-560-7520
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for SPARTANBURG MEDICAL CENTER

NPI # 1295824159
LBN Legal business name SPARTANBURG MEDICAL CENTER
Authorized official KENNETH MEINKE - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/11/2006
Last updated 12/09/2014 - About 11 years ago
Identifiers
NC Medicaid 89014YV
SC Medicaid GP1118
SC Other CN1627 RAILROAD MEDICARE GROUP #
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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