NORTHEAST ELITE MEDICAL CLINIC, LLC; NPI #1497322325

Contact Information

NORTHEAST ELITE MEDICAL CLINIC, LLC

136-4 FORUM DR
1018
COLUMBIA, SC 29229

Phone: 803-836-8679
Fax: 803-800-2007
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Family	363LF0000X	50	Nurse Practitioner
Clinic/Center	261Q00000X
Urgent Care	261QU0200X

Indicates primary specialty

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NPI Profile & details for NORTHEAST ELITE MEDICAL CLINIC, LLC

NPI Number	`1497322325`
LBN Legal business name	NORTHEAST ELITE MEDICAL CLINIC, LLC
Authorized official	PAULETTE RUMPH - (CEO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	06/09/2021
Last updated	06/09/2021 - About 5 years ago
Identifiers	n/a

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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NORTHEAST ELITE MEDICAL CLINIC, LLC

Contact Information

Specialty

Family

Clinic/Center

Urgent Care

NPI Profile & details for NORTHEAST ELITE MEDICAL CLINIC, LLC

Reviews for NORTHEAST ELITE MEDICAL CLINIC, LLC