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Contact Information

LIFELINE OF FAIRFIELD
350 COLUMBIA RD
WINNSBORO, SC29180
 Phone: 803-633-2107
 Fax: 803-635-6147
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Customized Equipment

332BC3200X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for LIFELINE OF FAIRFIELD

NPI Number 1477580959
LBN Legal business name LIFELINE OF FAIRFIELD
Authorized official DEBBIE BROOM - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/28/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
SC Medicaid DE1346
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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