SOUTH CAROLINA HEART CENTER – NPI #1760763312
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Health Care Provider Taxonomy Code for Internal Medicine

SOUTH CAROLINA HEART CENTER is a provider located in CAMDEN, SC. NPPES has assigned the NPI number 1760763312 to SOUTH CAROLINA HEART CENTER on September 08, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SOUTH CAROLINA HEART CENTER” is a dba name, the actual legal business name for this organization is PROVIDENCE CARDIOLOGY LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 10 years ago on Jan 19, 2016. 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 SOUTH CAROLINA HEART CENTER below.

NPI Profile for
PROVIDENCE CARDIOLOGY LLC

NPI Number
1760763312
Enumeration Date

(about 15 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
PROVIDENCE CARDIOLOGY LLC
Doing Business As (dba): SOUTH CAROLINA HEART CENTER
Primary location
1330 HAILE ST
CAMDEN, SC 29020-3002
Phone: (803) 432-6771 Fax: (803) 376-8010
Mailing address
2001 LAUREL ST
COLUMBIA, SC 29204-1018
Phone: (803) 254-3278 Fax: (803) 376-8010
Organization Subpart
No
Authorized Official
KATHLEEN KOENIG
CHIEF FINANCIAL OFFICER
Phone: (803) 254-3278
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
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
207RC0001X
- Internal Medicine / Clinical Cardiac Electrophysiology

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.