Superior Healthcare Of Spartanburg | |
945 E Main St Ste 4 Spartanburg SC 29302-2119 | |
(864) 586-1284 | |
(864) 586-1285 |
Full Name | Superior Healthcare Of Spartanburg |
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Speciality | Clinic/Center |
Location | 945 E Main St Ste 4, Spartanburg, South Carolina |
Authorized Official Name and Position | Jeremy Wilson (OWNER) |
Authorized Official Contact | 8644040433 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Superior Healthcare Of Spartanburg 945 E Main St Ste 4 Spartanburg SC 29302-2119 Ph: (864) 586-1284 | Superior Healthcare Of Spartanburg 945 E Main St Ste 4 Spartanburg SC 29302-2119 Ph: (864) 586-1284 |
NPI Number | 1356926067 |
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Provider Enumeration Date | 03/15/2021 |
Last Update Date | 02/06/2023 |
Medicare PECOS PAC ID | 4284034711 |
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Medicare Enrollment ID | O20210621001082 |
Identifier | Type | State | Issuer |
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1356926067 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Sergei Ivantchev |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1366416356 PECOS PAC ID: 6800868134 Enrollment ID: I20160217002081 |
Provider Name | Joseph Pierce Power |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1851727101 PECOS PAC ID: 8820387418 Enrollment ID: I20160520001930 |
Provider Name | Pamela M Mills |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952820136 PECOS PAC ID: 2961768122 Enrollment ID: I20171106000110 |
Provider Name | Brittney Lynn Clemmer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083324438 PECOS PAC ID: 5799158432 Enrollment ID: I20230228003030 |
Academic Primary Care Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Magnolia St, Spartanburg, SC 29303 Phone: 540-443-7180 | |