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Contact Information

TANDEM HEALTH SC
25 E CLARK ST
PINEWOOD, SC29125-8989
 Phone: 803-774-4516
 Fax: 803-452-5712
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for TANDEM HEALTH SC

NPI # 1811973068
LBN Legal business name TANDEM HEALTH SC
Authorized official ANNIE GEDDINGS - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/20/2005
Last updated 10/14/2019 - About 7 years ago
Identifiers
SC Medicaid 372048
SC Medicaid FQC048
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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