Spring Valley Family Practic in Columbia - Medical Specialty

Spring Valley Family Practic - NPI 1205889789

Spring Valley Family Practic is a Medical Specialty in Columbia, South Carolina. Spring Valley Family Practic practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Spring Valley Family Practic is 1205889789. The last update date is 2008-04-20.

Spring Valley Family Practic's current location address is 229 Longtown Rd, Columbia, South Carolina. You can contact this provider via phone number 8034194949 and fax number 8034196445. The mailing address for Spring Valley Family Practic is 229 Longtown Rd, Columbia, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Spring Valley Family Practic
Address 229 Longtown Rd, Columbia, South Carolina
Phone Number 8034194949
Fax Number 8034196445
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Jani Rutkumar
Telephone Number 8034194949

NPI Number Detail

NPI Number 1205889789
Provider Enumeration Date 2006-05-18
Last Updated Date 2008-04-20

Provider Mailing Address Detail

Address 229 Longtown Rd
City Columbia
State South Carolina (SC)
Post Code 292298550
Phone Number 8034194949
Fax Number 8034196445

Provider's Primary Taxonomy Detail

Speciality Medical Specialty
Taxonomy 261Qm2500X
Licence No 15409
Definition:
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
131100 SC --
154095 SC --
T64212 SC --

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FAQs about Spring Valley Family Practic

What is the unique identification code assigned to Spring Valley Family Practic by the Centers for Medicare & Medicaid Services?

The Spring Valley Family Practic has been issued the NPI (National Provider Identifier) 1205889789. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Spring Valley Family Practic is physically located?

The Spring Valley Family Practic is situated at the following address: 229 Longtown Rd, Columbia, SC 292298550.

What is the Spring Valley Family Practic's specialty and taxonomy code?

The Spring Valley Family Practic's specialty is Medical Specialty, and the corresponding taxonomy code is 261Qm2500X.

On what date did the Centers for Medicare & Medicaid Services assign the 1205889789 to Spring Valley Family Practic?

The Centers for Medicare & Medicaid Services assigned the 1205889789 to Spring Valley Family Practic on 2006-05-18.

As of what date were the details related to Spring Valley Family Practic most recently updated or revised?

The information pertaining to Spring Valley Family Practic, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-20.

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