SELF REGIONAL HEALTHCARE – NPI #1376342626
Clinic/Center

SELF REGIONAL HEALTHCARE is an AHC clinic located in GREENWOOD, SC. NPPES has assigned the NPI number 1376342626 to SELF REGIONAL HEALTHCARE on March 10, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QR1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rural Health

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SELF REGIONAL HEALTHCARE below.

NPI Profile for
SELF REGIONAL HEALTHCARE

NPI Number
1376342626
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SELF REGIONAL HEALTHCARE
Primary location
104 LINER DR
GREENWOOD, SC 29646-2310
Phone: (864) 227-1115 Fax: (864) 227-2046
Mailing address
104 WELLS AVE
GREENWOOD, SC 29646-3837
Phone: (864) 725-4673 Fax: (864) 725-7424
Organization Subpart
No
Authorized Official
MATTHEW LOGAN
PRESIDENT & CEO
Phone: (864) 725-4780
Updated
Certification Date
Mar 10, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR1300X
- Clinic/Center / Rural Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.