Providence Hospital, LLC
NPI #1003811290 in Columbia, South Carolina
Provider Information
- NPI Number
- 1003811290
- Entity Type
- Organization
- Organization Name
- Providence Hospital, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jun 15, 2005
- Last Updated
- Mar 22, 2021
Practice Location
- Address
- 2435 FOREST DR
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29204-2026
- Phone
- (803) 256-5300
Authorized Official
- Name
- KATHY J. TEAGUE
- Title
- ASSISTANT VICE PRESIDENT, SECRETARY
- Phone
- (615) 920-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
| General Acute Care Hospital |
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