Palmetto Health
Organization Active NPI Medical Specialty Clinic/Center · Easley, SC
NPI 1043391048 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1043391048
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medical Specialty Clinic/Center 261QM2500X
- Legal business name
- PALMETTO HEALTH
- Practice address
- Palmetto Health
200 Fleetwood Drive
Easley, SC 29640 - Phone
- (803) 296-2548
- Fax
- (803) 296-3040
- NPI assigned
- Oct 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Thomas B Eckert
- Title
- Director of PFS
- Phone
- (803) 296-2545
Corporate family (same tax ID) 17
National Provider Directory
- Tax ID family
- Markowitz and Associates
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | SC | Yes |
Addresses
Primary practice location
Palmetto Health
200 Fleetwood Drive
Easley, SC 29640
Mailing address
Palmetto Health
1807A East Main Street
Easley, SC 29640
Phone (803) 296-2548
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DRC008 | Medicaid | SC |
Other names
- Medical Fragile Children's Program Easley
Other providers in Easley, SC
- Jennifer S. Owens
- Cesar Neri Pagan-Cordero
- Keonna Palmer
- Palmett Health Baptist Easley
- Palmetto Health
- Palmetto Health
- Palmetto Health
- Palmetto Health
- Palmetto Health
- Palmetto Health
All providers in Easley, SC · Medical Specialty Clinic/Center in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.