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Contact Information

HEALTHSOURCE OF ORANGEBURG LLC
857 HOLLY STREET
ORANGEBURG, SC29115
 Phone: 803-535-0220
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for HEALTHSOURCE OF ORANGEBURG LLC

NPI # 1710202288
LBN Legal business name HEALTHSOURCE OF ORANGEBURG LLC
Authorized official KAYLA COOPER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/29/2010
Last updated 05/27/2014 - About 12 years ago
Identifiers
SC License # 3600
SC Medicaid CH2544
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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