| Spartanburg Medical Center | |
|
101 East Wood Street Suite 401 Spartanburg SC 29303-3040 | |
| (864) 560-4304 | |
| (864) 560-4413 |
| Full Name | Spartanburg Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 101 East Wood Street, Spartanburg, South Carolina |
| Authorized Official Name and Position | Kenneth Meinke (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8645606000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spartanburg Medical Center Po Box 743070 Atlanta GA 30384-3070 Ph: (865) 560-4304 | Spartanburg Medical Center 101 East Wood Street Suite 401 Spartanburg SC 29303-3040 Ph: (864) 560-4304 |
| NPI Number | 1912938432 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 12/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912938432 | NPI | - | NPPES |
| 5907654 | Medicaid | NC | |
| CN1627 | Other | RAILROAD MEDICARE GROUP# | |
| GP1118 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal 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 |