Laurelcrest

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

2310 Issued in SC

Legal business name

LAURELCREST

Practice address

100 Joseph Walker Dr
West Columbia, SC 29169-6971

Phone

(803) 796-0370

NPI assigned

Apr 11, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Pam Bidenagel, RN

Title

Director of Rehab

Phone

(864) 544-2323

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1427412980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 WOODCROSS DR APT 1203",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292122365",
            "telephone_number": "803-719-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 JOSEPH WALKER DR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291696971",
            "telephone_number": "803-796-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURELCREST",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "BIDENAGEL",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "DIRECTOR OF REHAB",
        "authorized_official_telephone_number": "864-544-2323",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "SC",
            "license": "2310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick L. Laporte, MD
• Hye Chin Lara, BC-HIS
• Madeline Anne Larson, MD
• Alan David Laszczynski, D.O.
• Laurel Crest Retirement Community
• Kathleen Law, APRN
• Joshua D. Lawson, MD
• Kristin Leigh Lawson, LISW-CP
• Richard M Lawson, MD
• Joseph J. Lawton III, MD

• Health Maintenance Organization in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Health Maintenance Organization in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.