Organization
PALMETTO HEALTH
Active
Parent organization
PALMETTO HEALTH
Other names
Palmetto SeniorCare
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALMETTO HEALTH
Authorized official
THOMAS B ECKERT (DIRECTOR OF PFS)
(803) 296-2548
Entity
Organization
Contact information
Practice address
PALMETTO HEALTH, 15 MEDICAL PARK DRIVE SUITE203, COLUMBIA, SC 29203
(803) 296-2548
(803) 296-3040
Mailing address
PALMETTO HEALTH SENIORCARE, 3555 HARDEN STREET 15 MEDICAL PARK SUITE203, COLUMBIA, SC 29203
(803) 296-2548
(803) 296-3040
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX0158
—
SC
Enumeration date
10/17/2006
Last updated
01/28/2008
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