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Contact Information

SPRING VALLEY FAMILY PRACTIC
229 LONGTOWN RD
COLUMBIA, SC29229-8550
 Phone: 803-419-4949
 Fax: 803-419-6445
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Specialty

261QM2500X
Indicates primary specialty

NPI Profile & details for SPRING VALLEY FAMILY PRACTIC

NPI Number 1205889789
LBN Legal business name SPRING VALLEY FAMILY PRACTIC
Authorized official RUTKUMAR JANI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/18/2006
Last updated 04/20/2008 - About 18 years ago
Identifiers
SC License # 15409
SC Medicaid 131100
SC Medicaid 154095
SC Medicaid T64212
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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