NPI 1427412980

Laurelcrest

Organisation Health Maintenance Organization West Columbia, SC

Practice location

Address: 100 Joseph Walker Dr, West Columbia, SC 29169-6971
Phone: (803) 796-0370
Mailing address: 34 Woodcross Dr APT 1203, Columbia, SC 29212-2365

Authorised official

Name: Pam Bidenagel
Title: Director of Rehab
Phone: (864) 544-2323

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 2310 (SC)

Other Health Maintenance Organization providers in South Carolina →

Registry record

NPI: 1427412980
Entity type: Organization
NPI issued: 11 Apr 2016
Record last updated: 11 Apr 2016

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.