POLLOCK PSYCHIATRY LLC


Address: 116 Belle Grove Cir, Columbia, SC 29229-8906
Phone: 8034226765

POLLOCK PSYCHIATRY LLC (NPI# 1336387778) 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) 1336387778
Entity Type Organization
Organization Name POLLOCK PSYCHIATRY LLC
Practice Address 116 Belle Grove Cir
Columbia
SC 29229-8906
Mailing Address Po Box 291563
Columbia
SC 29229-0027
Practice Telephone 8034226765
Mailing Telephone 8035638845
Enumeration Date 2009-01-22
Last Update Date 2017-11-16
Authorized Official Name RALPH C POLLOCK (SOLE PROPRIETOR)
Authorized Official Telephone 8035638845
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
28154 SC Ambulatory Health Care Facilities

Office Location

Street Address 116 BELLE GROVE CIR
City COLUMBIA
State SC
Zip Code 29229-8906

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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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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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