NPI 1003811290
Providence Hospital, LLC
Practice location
- Address
- 2435 Forest Dr, Columbia, SC 29204-2026
- Phone
- (803) 256-5300
- Fax
- (803) 256-5935
- Mailing address
- 330 Seven Springs Way, Brentwood, TN 37027-5098
Authorised official
- Name
- Kathy J. Teague
- Title
- Assistant Vice President, Secretary
- Phone
- (615) 920-7000
Registered specialties (3)
General Acute Care Hospital
Primary
Ambulatory Surgical Clinic/Center
General Acute Care Hospital
Registry record
- NPI
- 1003811290
- Entity type
- Organization
- NPI issued
- 15 Jun 2005
- Record last updated
- 22 Mar 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.