Primecare Health Center Pa in Beaufort - Specialist

Primecare Health Center Pa - NPI 1659446219

Primecare Health Center Pa is a Specialist in Beaufort, South Carolina. Primecare Health Center Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Primecare Health Center Pa is 1659446219. The last update date is 2008-04-20.

Primecare Health Center Pa's current location address is 27 Kemmerlin Lane, Beaufort, South Carolina. You can contact this provider via phone number 8435242100 and fax number 8435259613. The mailing address for Primecare Health Center Pa is 27 Kemmerlin Lane, Beaufort, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Primecare Health Center Pa
Address 27 Kemmerlin Lane, Beaufort, South Carolina
Phone Number 8435242100
Fax Number 8435259613
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Pope Y Gina
Credentials MD
Telephone Number 8435242100

NPI Number Detail

NPI Number 1659446219
Provider Enumeration Date 2006-11-21
Last Updated Date 2008-04-20

Provider Mailing Address Detail

Address 27 Kemmerlin Lane
City Beaufort
State South Carolina (SC)
Post Code 299072702
Phone Number 8435242100
Fax Number 8435259613

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 24049
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
24049 SC SC MEDICAL LICENSE #

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FAQs about Primecare Health Center Pa

What is the unique 10-digit identifier code issued to Primecare Health Center Pa by the Centers for Medicare & Medicaid Services?

The Primecare Health Center Pa has been assigned the NPI (National Provider Identifier) 1659446219 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Primecare Health Center Pa's facilities are situated?

The facilities of Primecare Health Center Pa are physically located at the following address: 27 Kemmerlin Lane, Beaufort, SC, 299072702.

What is Primecare Health Center Pa's specialized field of practice, and what is the corresponding taxonomy classification code?

The Primecare Health Center Pa's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1659446219 to Primecare Health Center Pa?

The Centers for Medicare & Medicaid Services assigned the 1659446219 to Primecare Health Center Pa on 2006-11-21.

As of what date was the information regarding Primecare Health Center Pa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Primecare Health Center Pa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-20.

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