1639463771 NPI number — AUGUSTINE HEALTH GROUP, LLC

Table of content: (NPI 1639463771)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639463771 NPI number — AUGUSTINE HEALTH GROUP, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AUGUSTINE HEALTH GROUP, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1639463771
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/07/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
114 GATEWAY CORPORATE BLVD
Provider Second Line Business Mailing Address:
SUITE 425
Provider Business Mailing Address City Name:
COLUMBIA
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29203-9740
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
803-865-4780
Provider Business Mailing Address Fax Number:
803-865-4932

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
190 KNOX ABBOTT DR
Provider Second Line Business Practice Location Address:
SUITE 3-C
Provider Business Practice Location Address City Name:
CAYCE
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29033-4348
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-865-4780
Provider Business Practice Location Address Fax Number:
803-865-4932
Provider Enumeration Date:
06/07/2011

Additional Information

Authorized Official

Authorized Official Last Name:
HAITHCOCK
Authorized Official First Name:
ANGELA
Authorized Official Middle Name:
Authorized Official Title or Position:
CREDENTIALING COORDINATOR
Authorized Official Telephone Number:
803-865-4780

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: DA2264 . This is a "RAILROAD MEDICARE GROUP #" identifier , issued by the state of ( SC ) . This identifiers is of the category "OTHER".




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