Self Regional Healthcare in Greenwood - Family Medicine
Self Regional Healthcare - NPI 1326067703
Self Regional Healthcare is a Family Medicine in Greenwood, South Carolina. Self Regional Healthcare practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Self Regional Healthcare is 1326067703. The last update date is 2021-12-14.
Self Regional Healthcare's current location address is 155 Academy Ave, Greenwood, South Carolina. You can contact this provider via phone number 8647254865 and fax number 8647254883. The mailing address for Self Regional Healthcare is 155 Academy Ave, Greenwood, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Self Regional Healthcare |
|---|---|
| Address | 155 Academy Ave, Greenwood, South Carolina |
| Phone Number | 8647254865 |
| Fax Number | 8647254883 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Logan T Matthew |
| Credentials | MD |
| Telephone Number | 8647254253 |
NPI Number Detail
| NPI Number | 1326067703 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2021-12-14 |
Provider Mailing Address Detail
| Address | 155 Academy Ave |
|---|---|
| City | Greenwood |
| State | South Carolina (SC) |
| Post Code | 296463808 |
| Phone Number | 8647254865 |
| Fax Number | 8647254883 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 38 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CE6182 | MEDICARE RR GROUP NUMBER | ||
| PC3251 | SC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Self Regional Healthcare by the Centers for Medicare & Medicaid Services?
The Self Regional Healthcare has been issued the NPI (National Provider Identifier) 1326067703 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Self Regional Healthcare's facilities are situated?
The facilities of Self Regional Healthcare are physically located at the following address: 155 Academy Ave, Greenwood, SC, 296463808.
What is Self Regional Healthcare's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Self Regional Healthcare is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Self Regional Healthcare receive the assignment of its 1326067703 from the Centers for Medicare & Medicaid Services?
The Self Regional Healthcare was issued its 1326067703 by the Centers for Medicare & Medicaid Services on 2006-07-18.
As of what date were the Self Regional Healthcare's details last updated?
The information pertaining to the Self Regional Healthcare, including its address, specialty, and other details, was most recently updated on 2021-12-14.