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Contact Information

KERSHAWHEALTH
1315 ROBERTS ST
CAMDEN, SC29020-3737
 Phone: 803-432-4311
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Specialty

261QM2500X
Indicates primary specialty

NPI Profile & details for KERSHAWHEALTH

NPI Number 1689878357
LBN Legal business name KERSHAWHEALTH
Authorized official DONNIE WEEKS - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/14/2007
Last updated 09/23/2009 - About 17 years ago
Identifiers
SC License # ID#005277
SC Medicaid DPE066
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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