74 POLO ROAD, LLC
NPI 1093262628
Clinic/Center - Multi-Specialty in Columbia, SC

Active since September 01, 2016
74 POLO RD, COLUMBIA, SC 29223(803) 419-7780(803) 419-7781 Get Directions Write a Review

NPPES record last updated: September 1, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About 74 Polo Road, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

74 POLO ROAD, LLC (NPI 1093262628) is a healthcare organization registered as a multi-specialty in Columbia, South Carolina and active in the NPI registry since September 2016. The organization lists Jeff Lehrich, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1093262628
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business Name74 POLO ROAD, LLC
Location Address74 POLO RDColumbia, SC 29223-2806
Mailing Address74 Polo RdColumbia, SC 29223-2806 · (803) 419-7780 · Fax (803) 419-7781
Fax(803) 419-7781
Organization SubpartYesParent: Evfi Polo Road Llc
Authorized OfficialJeff LehrichExecutive Director · (480) 235-7788
Enumeration DateSeptember 1, 2016
NPI 1093262628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License Licensed in SC · 20381
74 POLO RD, Columbia, SC 29223

Other Identifiers 1

OtherPENDINGSC · Medicare And Medicaid Pending

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
74 POLO RD
COLUMBIA, SC 29223
Family Medicine
74 POLO RD
COLUMBIA, SC 29223
Internal Medicine
74 POLO RD
COLUMBIA, SC 29223
Family Medicine
74 POLO RD
COLUMBIA, SC 29223
Internal Medicine
74 POLO RD
COLUMBIA, SC 29223
Pediatrics
74 POLO RD
COLUMBIA, SC 29223
Pediatrics
74 POLO RD
COLUMBIA, SC 29223
Physician Assistant
74 POLO RD
COLUMBIA, SC 29223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 74 Polo Road, LLC's NPI number?

The NPI number for 74 Polo Road, LLC is 1093262628. It was assigned to this organization in the NPPES registry on September 1, 2016.

Where is 74 Polo Road, LLC located?

74 Polo Road, LLC is located at 74 Polo Rd, Columbia, SC 29223. The listed phone number is (803) 419-7780.

What is 74 Polo Road, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for 74 Polo Road, LLC was last updated on September 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.