NPIMap

Organization Active NPI

Palmetto Heatlh

Doing business as Palmetto Health Coulmbia CRNA Services

  • Multi-Specialty Clinic/Center
  • Coulmbia, SC
National Provider Identifier
1013041367
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PALMETTO HEATLH
Doing business as
Palmetto Health Coulmbia CRNA Services
Practice address
3301 Harden St Ext 5 Medical Park
Palmetto Health Crna Richland
Coulmbia, SC 29203-6813
Phone
(803) 296-2548
Fax
(803) 296-2548
NPI assigned
Mar 16, 2007
Organization subpart
Yes
Parent organization
PALMETTO HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 11, 2017

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X SC Primary

Addresses

Primary practice location

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

Mailing address

PO Box 744244
Atlanta, GA 30374-4244
Phone (803) 296-2548

Other identifiers 1

IdentifierTypeStateIssuer
SUFFIX 008OtherSCBCBS CRNA RICHLAND

Other names 1

  • Palmetto Health Coulmbia CRNA Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ridge Pediatric Adolesc105 organizations share this tax ID, including this one
Part of
Ridge Pediatric Adolesc

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

Practitioners & affiliated clinicians

Practitioners 5

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": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507680000000",
    "number": "1013041367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744244",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303744244",
            "telephone_number": "803-296-2548",
            "fax_number": "803-296-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 HARDEN ST EXT 5 MEDICAL PARK",
            "address_2": "PALMETTO HEALTH CRNA RICHLAND",
            "city": "COULMBIA",
            "state": "SC",
            "postal_code": "292036813",
            "telephone_number": "803-296-2548",
            "fax_number": "803-296-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO HEATLH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PALMETTO HEALTH",
        "enumeration_date": "2007-03-16",
        "last_updated": "2017-10-11",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT ACCOUNTS",
        "authorized_official_telephone_number": "803-296-2342"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CRNA RICHLAND",
            "identifier": "SUFFIX 008",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmetto Health Coulmbia CRNA Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coulmbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; 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.