SPARTANBURG MICHELIN FAMILY HEALTH CENTER – NPI #1083108260
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

SPARTANBURG MICHELIN FAMILY HEALTH CENTER is a provider located in SPARTANBURG, SC. NPPES has assigned the NPI number 1083108260 to SPARTANBURG MICHELIN FAMILY HEALTH CENTER on June 20, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SPARTANBURG MICHELIN FAMILY HEALTH CENTER” is a dba name, the actual legal business name for this organization is MEDEXPRESS PRIMARY CARE SOUTH CAROLINA, P.C.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 8 years ago on Jul 02, 2018. 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 SPARTANBURG MICHELIN FAMILY HEALTH CENTER below.

NPI Profile for
MEDEXPRESS PRIMARY CARE SOUTH CAROLINA, P.C.

NPI Number
1083108260
Enumeration Date

(about 8 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
MEDEXPRESS PRIMARY CARE SOUTH CAROLINA, P.C.
Doing Business As (dba): SPARTANBURG MICHELIN FAMILY HEALTH CENTER
Primary location
1785 NEW CUT RD
SPARTANBURG, SC 29303
Phone: (864) 599-3050 Fax: (864) 599-3051
Mailing address
1001 CONSOL ENERGY DR
CANONSBURG, PA 15317-6506
Phone: (304) 225-2500 Fax: (724) 743-1133
Organization Subpart
No
Authorized Official
BRETT GALL
DIRECTOR PAYOR CONTRACTING
Phone: (304) 225-2500
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
208D00000X
- General Practice (Primary)
207Q00000X
- Family Medicine

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.