Organization Active NPI

East Aiken Health Center L.L.C.

  • Family Medicine Physician
  • Aiken, SC
National Provider Identifier
1003915877
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17237 Issued in SC
Legal business name
EAST AIKEN HEALTH CENTER L.L.C.
Practice address
1847 Hatchaway Bridge Rd
East Aiken Health Center
Aiken, SC 29805-8163
Phone
(803) 644-7033
Fax
(803) 644-8250
NPI assigned
Sep 21, 2006
Last updated
Jan 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bernard John Kule, MDNPI 1487783882
Title
Owner/President
Phone
(803) 644-7033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 17237 SC Primary

Addresses

Primary practice location

1847 Hatchaway Bridge Rd
East Aiken Health Center
Aiken, SC 29805-8163

Mailing address

1847 Hatchaway Bridge Rd
East Aiken Health Center
Aiken, SC 29805-8163
Phone (803) 644-7033

National Provider Directory

National Provider Directory

Locations

1847 Hatchaway Bridge Rd
Aiken, SC 29805
Phone (803) 644-7033

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1003915877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1847 HATCHAWAY BRIDGE RD",
            "address_2": "EAST AIKEN HEALTH CENTER",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298058163",
            "telephone_number": "803-644-7033",
            "fax_number": "803-644-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1847 HATCHAWAY BRIDGE RD",
            "address_2": "EAST AIKEN HEALTH CENTER",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298058163",
            "telephone_number": "803-644-7033",
            "fax_number": "803-644-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST AIKEN HEALTH CENTER L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "KULE",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "803-644-7033",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "17237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.