Pennsylvania Kidney Care, P.c. | |
1320 Main St Ste 300 Columbia SC 29201-3266 | |
(980) 443-4852 | |
Not Available |
Full Name | Pennsylvania Kidney Care, P.c. |
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Speciality | Clinic/Center |
Location | 1320 Main St Ste 300, Columbia, South Carolina |
Authorized Official Name and Position | Aaron Molitor (COO) |
Authorized Official Contact | 9132321472 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pennsylvania Kidney Care, P.c. 1600 Stout St Ste 2000 Attn Strive Health Credentialing Team Denver CO 80202-3113 Ph: (980) 443-4852 | Pennsylvania Kidney Care, P.c. 1320 Main St Ste 300 Columbia SC 29201-3266 Ph: (980) 443-4852 |
NPI Number | 1477155638 |
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Provider Enumeration Date | 11/12/2020 |
Last Update Date | 07/10/2024 |
Medicare PECOS PAC ID | 9032524343 |
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Medicare Enrollment ID | O20210219000007 |
Identifier | Type | State | Issuer |
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1477155638 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Taylor C Junod |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669836771 PECOS PAC ID: 5294024592 Enrollment ID: I20160510000374 |
Provider Name | Victoria A Culp |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639441991 PECOS PAC ID: 9436580768 Enrollment ID: I20200520002111 |
Provider Name | Haley D Justus |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1861896672 PECOS PAC ID: 9638565633 Enrollment ID: I20220517000001 |
Provider Name | Margaret A Warner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093843732 PECOS PAC ID: 3779552690 Enrollment ID: I20220713002440 |
Provider Name | Amanda L Mcclanahan |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1821733544 PECOS PAC ID: 1951788801 Enrollment ID: I20230929001888 |
Northlake Family Medical Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3000 Ne Medical Park, Ste 101, Columbia, SC 29223 Phone: 803-419-5131 Fax: 803-419-5130 | |
Lagniappe Medical Clinics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 74 Polo Rd, Columbia, SC 29223 Phone: 803-419-7780 Fax: 803-419-7781 | |