Visions Medical Healthcare Services | |
169 Hall St Spartanburg SC 29302-1523 | |
(864) 358-9278 | |
(864) 751-5352 |
Full Name | Visions Medical Healthcare Services |
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Speciality | Clinic/Center |
Location | 169 Hall St, Spartanburg, South Carolina |
Authorized Official Name and Position | Tamieka Latrell Alston-gibson (OWNER/OPERATOR) |
Authorized Official Contact | 8643589278 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Visions Medical Healthcare Services 551 Branch Wood Dr Boiling Springs SC 29316-4838 Ph: (864) 358-9278 | Visions Medical Healthcare Services 169 Hall St Spartanburg SC 29302-1523 Ph: (864) 358-9278 |
NPI Number | 1730667247 |
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Provider Enumeration Date | 08/06/2018 |
Last Update Date | 03/27/2023 |
Medicare PECOS PAC ID | 8224377445 |
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Medicare Enrollment ID | O20190306002026 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730667247 | NPI | - | NPPES |
NP3545 | Medicaid | SC | |
1902273808 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
363LF0000X | Nurse Practitioner - Family | 19703 (South Carolina) | Secondary |
Provider Name | Tamieka L Alston-gibson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902273808 PECOS PAC ID: 4789987579 Enrollment ID: I20160128001780 |
Academic Primary Care Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Magnolia St, Spartanburg, SC 29303 Phone: 540-443-7180 | |