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Contact Information

CHP TEGA CAY SC TENANT CORP
111 WELLMORE DR
TEGA CAY, SC29708-0039
 Phone: 803-835-7000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for CHP TEGA CAY SC TENANT CORP

NPI # 1992181812
LBN Legal business name CHP TEGA CAY SC TENANT CORP
Authorized official KEVIN MADDRON - (SR VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/03/2015
Last updated 11/04/2016 - About 10 years ago
Identifiers
SC License # NCF-0964
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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