| Spartanburg Regional Med Ctr | |
|
853 N Church Street Suite 640 Spartanburg SC 29303-3040 | |
| (864) 560-6445 | |
| (864) 560-4413 |
| Full Name | Spartanburg Regional Med Ctr |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 853 N Church Street, Spartanburg, South Carolina |
| Authorized Official Name and Position | Gina Michelle Hillers (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 8645604057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spartanburg Regional Med Ctr Po Box 2168 Spartanburg SC 29304 Ph: (864) 560-4304 | Spartanburg Regional Med Ctr 853 N Church Street Suite 640 Spartanburg SC 29303-3040 Ph: (864) 560-6445 |
| NPI Number | 1710918230 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 11/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710918230 | NPI | - | NPPES |
| CN1627 | Other | SC | RAILROAD MEDICARE GROUP# |
| 57600934075 | Other | SC | BLUE CROSS BLUE SHIELD G |
| 6906099 | Medicaid | NC | |
| GP2722 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (* (Not Available)) | Primary |
Renaissance Therapy & Forensic Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Ezell St, Spartanburg, SC 29306 Phone: 864-573-5956 Fax: 864-573-7353 | |
Carol Nichols & Carol Kooistra Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 541 Floyd Rd, Spartanburg, SC 29307 Phone: 864-585-6179 | |
Spartanburg Medical Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1700 Skylyn Dr, Spartanburg, SC 29307 Phone: 864-560-6000 | |
Enchance Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Real Estate Way Ste B9, Spartanburg, SC 29302 Phone: 864-621-0955 | |
Carolina Behavioral Care, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 269 S Church St, Ste 218b, Spartanburg, SC 29306 Phone: 864-316-9710 | |
Genesis Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 364 S Pine St Ste A110, Spartanburg, SC 29302 Phone: 864-515-6440 Fax: 864-308-2442 | |
Greenwell Dorrian Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 Rosecrest Rd, Spartanburg, SC 29303 Phone: 864-909-5522 |