AMBULATORY CARE CENTER FOR EVALUATION AND STABILIZATION – NPI #1104188606
Family Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

AMBULATORY CARE CENTER FOR EVALUATION AND STABILIZATION is a provider located in COLUMBIA, SC. NPPES has assigned the NPI number 1104188606 to AMBULATORY CARE CENTER FOR EVALUATION AND STABILIZATION on June 11, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AMBULATORY CARE CENTER FOR EVALUATION AND STABILIZATION” is a dba name, the actual legal business name for this organization is PALMETTO HEALTH. The primary taxonomy selected by this provider is 207QG0300X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Geriatric Medicine

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 AMBULATORY CARE CENTER FOR EVALUATION AND STABILIZATION below.

NPI Profile for
PALMETTO HEALTH

NPI Number
1104188606
Enumeration Date

(about 14 years 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
PALMETTO HEALTH
Doing Business As (dba): AMBULATORY CARE CENTER FOR EVALUATION AND STABILIZATION
Primary location
3010 FARROW RD
CAROLINA MEDICAL PLAZA SUITE 200
COLUMBIA, SC 29203-7607
Phone: (803) 434-2741 Fax: (803) 434-3175
Mailing address
PO BOX 402145
ATLANTA, GA 30384-2145
Phone: (803) 296-7305 Fax: (803) 296-7330
Organization Subpart
Yes - AMBULATORY CARE CENTER FOR EVALUATION AND STABILIZATION is subpart of another organization.
Authorized Official
DARRELL COVEN
DIRECTOR, AMBULATORY SERVICES-FINAN
Phone: (803) 296-7301
Updated
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
207QG0300X
- Family Medicine / Geriatric Medicine (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.