| Spartanburg Regional Med Ctr | |
|
120 Heywood Ave Suite 200 Spartanburg SC 29302-1210 | |
| (864) 560-3800 | |
| (864) 560-4413 |
| Full Name | Spartanburg Regional Med Ctr |
|---|---|
| Speciality | Family Medicine |
| Location | 120 Heywood Ave, 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 120 Heywood Ave Suite 200 Spartanburg SC 29302-1210 Ph: (864) 560-3800 |
| NPI Number | 1942241781 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942241781 | NPI | - | NPPES |
| GP1118 | Medicaid | SC | |
| CN1627 | Other | SC | RAILROAD MEDICARE GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Academic Primary Care Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Magnolia St, Spartanburg, SC 29303 Phone: 540-443-7180 | |
Spartanburg Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 Heywood Ave, Suite 200, Spartanburg, SC 29302 Phone: 864-573-9595 Fax: 864-585-3752 | |
Mary Black Physicians Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1690 Skylyn Dr, Suite 300, Spartanburg, SC 29307 Phone: 864-342-4000 | |
Healogics Specialty Physicians Of South Carolina, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1630 Skylyn Drive, Suite 420, Spartanburg, SC 29307 Phone: 904-446-3825 | |
Premise Health Of South Carolina Medical, P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1785 New Cut Rd, Spartanburg, SC 29303 Phone: 864-599-3050 Fax: 864-599-3051 | |
Proactive Md Sc,p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2273 Hayne St., Spartanburg, SC 29301 Phone: 864-541-0555 Fax: 864-345-7898 | |
Mary Black Physicians Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1250 John B White Sr Blvd, Spartanburg, SC 29306 Phone: 864-576-9201 |