Organization · Type 2 NPI

Palmetto Heatlh

Multi-Specialty Clinic/Center · Coulmbia, SC

NPI number 1013041367 Active

Practice location

3301 Harden St Ext 5 Medical Park, Palmetto Health Crna Richland
Coulmbia, SC 29203-6813

Call (803) 296-2548 Map

Fax (803) 296-2548

Mailing address

PO Box 744244
Atlanta, GA 30374-4244

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed

Multi-Specialty Clinic/Center: Definition to come...

2 other providers at this address

Laura Faye Beck, CRNACertified Registered Nurse Anesthetist Columbia, SC NPI 1922026384
Phillip Merrida Hampton, CRNACertified Registered Nurse Anesthetist Columbia, SC NPI 1972521243

NPI record

NPI: 1013041367
Entity type: Organization (Type 2)
Issued: Mar 16, 2007
Last updated: Oct 11, 2017
Status: Active
Subpart: Yes of Palmetto Health

Other names

<unavail>
Palmetto Health Coulmbia Crna Services · doing business as

Authorized official

Willie P Brown
Director of Patient Accounts
(803) 296-2342

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013041367

Palmetto Heatlh's National Provider Identifier is 1013041367, issued on Mar 16, 2007. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Coulmbia, SC. The record was last updated on Oct 11, 2017.