Spartanburg Rehabilitation Institute Inc. | |
160 Harold Fleming Ct Spartanburg SC 29303-4226 | |
(864) 594-9600 | |
(864) 594-9823 |
Full Name | Spartanburg Rehabilitation Institute Inc. |
---|---|
Speciality | Clinic/Center |
Location | 160 Harold Fleming Ct, Spartanburg, South Carolina |
Authorized Official Name and Position | Denise Kann (VICE PRESIDENT AND SECRETARY) |
Authorized Official Contact | 9722162299 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Spartanburg Rehabilitation Institute Inc. 1024 N Galloway Ave Ste 102 Mesquite TX 75149-2434 Ph: (972) 216-2299 | Spartanburg Rehabilitation Institute Inc. 160 Harold Fleming Ct Spartanburg SC 29303-4226 Ph: (864) 594-9600 |
NPI Number | 1124890546 |
---|---|
Provider Enumeration Date | 10/30/2023 |
Last Update Date | 10/30/2023 |
Medicare PECOS PAC ID | 0840438768 |
---|---|
Medicare Enrollment ID | O20231215003115 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124890546 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Whitney Wilson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790152460 PECOS PAC ID: 9638472780 Enrollment ID: I20160122001037 |
Provider Name | Ryan T Hudson |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1306266390 PECOS PAC ID: 8527367689 Enrollment ID: I20180703001344 |
Academic Primary Care Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Magnolia St, Spartanburg, SC 29303 Phone: 540-443-7180 | |