PALMETTO HEALTH &WELLNESS/OASIS SKINCARE


Address: 1101 Cook Rd, Orangeburg, SC 29118-8204
Phone: 8035353961

PALMETTO HEALTH &WELLNESS/OASIS SKINCARE (NPI# 1801059928) 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) 1801059928
Entity Type Organization
Organization Name PALMETTO HEALTH &WELLNESS/OASIS SKINCARE
Other Organization Name OASIS SKINCARE ,LLC
Practice Address 1101 Cook Rd
Orangeburg
SC 29118-8204
Practice Telephone 8035353961
Practice Fax Number 8035353962
Mailing Telephone 8035353961
Mailing Fax Number 8035353962
Enumeration Date 2008-07-09
Last Update Date 2008-07-09
Authorized Official Name DR. PATRICIA ELLEN RIDDLE (MEDICAL DIRECTOR (OWNER))
Authorized Official Telephone 8035353961
Authorized Official Credential M.D.
Is Organization Subpart Y
Parent Organization Name OASIS SKINCARE, LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center 19256 SC Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Oasis Skincare ,LLC Doing Business As Name - Organization

Office Location

Street Address 1101 COOK RD
City ORANGEBURG
State SC
Zip Code 29118-8204

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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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Competitor

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City ORANGEBURG
Zip Code 29118

Improve Information

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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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