| NPI | 1326067703 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-07-18 |
| Last Updated | 2021-12-14 |
| Authorized Official | Matthew Logan PRESIDENT & CEO Phone: 8647254253 |
| Mailing Address | 155 Academy Ave Greenwood, SC 29646-3808 United States Phone: (864) 725-4865 | Fax: (864) 725-4883 📍 View Map |
| Primary Practice Address | 155 Academy Ave Greenwood, SC 29646-3869 United States Phone: (864) 725-4865 | Fax: (864) 725-4883 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | - | CE6182 | Medicare RR Group Number |
| MEDICAID | SC | PC3251 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207Q00000X – Family Medicine | SC | 038 |
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About NPI 1326067703
Self Regional Healthcare is an organization registered in the CMS NPPES NPI Registry with NPI number 1326067703. The primary specialty listed is Family Medicine. The organization is located in Greenwood, SC. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-18. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1326067703?
NPI 1326067703 belongs to Self Regional Healthcare, a Family Medicine in Greenwood, SC. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1326067703 active?
The current status of NPI 1326067703 in the NPPES registry is Active. The record was last updated on 2021-12-14.
What specialty is NPI 1326067703?
NPI 1326067703 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1326067703?
You can verify NPI 1326067703 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1326067703?
The primary practice address on file for NPI 1326067703 is 155 Academy Ave, Greenwood, SC 29646-3869. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1326067703 issued?
NPI 1326067703 was first issued (enumerated) on 2006-07-18. The NPPES record was last updated on 2021-12-14.
Practice Location Map
Self Regional Healthcare is located at 155 Academy Ave, Greenwood, SC. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Self Regional Healthcare. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1326067703. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine | 038 | SC |