NPIMap

Organization Active NPI

Palmetto Health

Doing business as CRNA Baptist

  • Multi-Specialty Clinic/Center
  • Columbia, SC
National Provider Identifier
1104950450
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 HEALTH
Doing business as
CRNA Baptist
Practice address
1330 Taylor at Marion Streets
Palmetto Health Baptist Crna
Columbia, SC 29201
Phone
(803) 296-2548
Fax
(803) 296-2548
NPI assigned
Mar 16, 2007
Last updated
Oct 11, 2017By the provider in NPPES
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 Primary

Addresses

Primary practice location

1330 Taylor at Marion Streets
Palmetto Health Baptist Crna
Columbia, SC 29201

Mailing address

Palmetto Health Baptist Crna
PO Box 402141
Atlanta, GA 30384-0001
Phone (803) 296-2548

Other identifiers 1

IdentifierTypeStateIssuer
SUFFIX 508OtherSCBCBS FOR CRNA BAPTIST

Other names 1

  • CRNA Baptist Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northeast Family Practi105 organizations share this tax ID, including this one
Part of
Northeast Family Practi

Organizations with this tax ID in the same state 24

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

View all 24

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": "1104950450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PALMETTO HEALTH BAPTIST CRNA",
            "address_2": "PO BOX 402141",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303840001",
            "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": "1330 TAYLOR AT MARION STREETS",
            "address_2": "PALMETTO HEALTH BAPTIST CRNA",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29201",
            "telephone_number": "803-296-2548",
            "fax_number": "803-296-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO HEALTH",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FOR CRNA BAPTIST",
            "identifier": "SUFFIX 508",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRNA Baptist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 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.