Active NPI
VI-Care Group Inc.
- Preferred Provider Organization
- Columbia, SC
National Provider Identifier
1083831770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- Legal business name
- VI-CARE GROUP INC.
- Practice address
- 5115 Forest Dr
Suite B
Columbia, SC 29206-4934 - Phone
- (803) 779-2273
- Fax
- (803) 799-0854
- NPI assigned
- Apr 20, 2007
- Last updated
- Nov 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- F Kirk Peterson
- Title
- Administrator
- Phone
- (803) 779-2273
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | |||
| Preferred Provider Organization | 305R00000X | Primary |
Addresses
Primary practice location
5115 Forest Dr
Suite B
Columbia, SC 29206-4934
Mailing address
PO Box 5721
Columbia, SC 29250-5721
National Provider Directory
National Provider DirectoryLocations
5115 Forest Dr
Ste B
Columbia, SC 29206
Phone (803) 779-2273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194220800000",
"number": "1083831770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5721",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292505721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5115 FOREST DR",
"address_2": "SUITE B",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292064934",
"telephone_number": "803-779-2273",
"fax_number": "803-799-0854"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VI-CARE GROUP INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-20",
"last_updated": "2007-11-05",
"status": "A",
"authorized_official_last_name": "PETERSON",
"authorized_official_first_name": "F",
"authorized_official_middle_name": "KIRK",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "803-779-2273"
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.