# PALMETTO HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PALMETTO HEALTH
- **Other names:** Palmetto SeniorCare
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1457432478
- **Legal business name:** PALMETTO HEALTH
- **Authorized official:** THOMAS B ECKERT (DIRECTOR OF PFS)
- **Authorized official phone:** (803) 296-2548

## Contact information

- **Practice address:** PALMETTO HEALTH, 15 MEDICAL PARK DRIVE SUITE203, COLUMBIA, SC 29203
- **Practice address phone:** (803) 296-2548
- **Practice address fax:** (803) 296-3040
- **Mailing address:** PALMETTO HEALTH SENIORCARE, 3555 HARDEN STREET 15 MEDICAL PARK SUITE203, COLUMBIA, SC 29203
- **Mailing address phone:** (803) 296-2548
- **Mailing address fax:** (803) 296-3040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | SC | Yes |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 01/28/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | EX0158 | — | SC |