MEDCARE URGENT CARE CENTER SPARKLEBERRY


Address: 10136 Two Notch Rd Ste 104, Columbia, SC 29229-4399
Phone: 8435765246

MEDCARE URGENT CARE CENTER SPARKLEBERRY (NPI# 1043561020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043561020
Entity Type Organization
Organization Name MEDCARE URGENT CARE CENTER SPARKLEBERRY
Practice Address 10136 Two Notch Rd Ste 104
Columbia
SC 29229-4399
Mailing Address 1850 Sam Rittenberg Blvd
Suite B
Charleston
SC 29407-4936
Practice Telephone 8435765246
Practice Fax Number 8435765243
Mailing Telephone 8435765246
Mailing Fax Number 8435765243
Enumeration Date 2012-10-01
Last Update Date 2014-01-24
Authorized Official Name NANCY WILKES (VP REVENUE CYCLE MANAGEMENT)
Authorized Official Telephone 8435765246
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QU0200X Clinic/Center
Specialization: Urgent Care
Ambulatory Health Care Facilities

Office Location

Street Address 10136 TWO NOTCH RD STE 104
City COLUMBIA
State SC
Zip Code 29229-4399

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Taxonomy Information

Taxonomy Code 261QU0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Urgent Care

Taxonomy Definition

Definition to come...

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Competitor

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City COLUMBIA
Zip Code 29229

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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