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SOUTH CAROLINA HEART CENTER PA
NPI 1104088707
Internal Medicine - Cardiovascular Disease in Bamberg, SC

Active since June 26, 2008
506 NORTH ST, BAMBERG, SC 29003(803) 245-6290(803) 245-6291 Get Directions Write a Review

NPPES record last updated: June 26, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About South Carolina Heart Center Pa NPPES

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

SOUTH CAROLINA HEART CENTER PA (NPI 1104088707) is a healthcare organization registered as a cardiovascular disease in Bamberg, South Carolina and active in the NPI registry since June 2008. The organization lists Kathy Koenig, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1104088707
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameSOUTH CAROLINA HEART CENTER PA
Location Address506 NORTH STBamberg, SC 29003-1319
Mailing AddressPo Box 99Columbia, SC 29202-0099 · (803) 254-3278 · Fax (803) 376-8010
Phone(803) 245-6290
Fax(803) 245-6291
Organization SubpartNo
Authorized OfficialKathy KoenigChief Financial Officer · (803) 254-3278
Enumeration DateJune 26, 2008
✔ NPI 1104088707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

506 NORTH ST, Bamberg, SC 29003
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Other Identifiers 2

Medicare PIN2904SC
MedicaidPC3787SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories CVS Pharmacy #03578 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #03578

DMEPOS supplier · Batesburg, SCOperated by South Carolina CVS Pharmacy LLC
⋮

Does not accept Medicare assignment

CVS Pharmacy #03578 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20429705
Medicare Participant SinceJanuary 1, 2019
Supplier Location120 West Columbia AveBatesburg, SC 29006
Phone(803) 532-5564
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 3

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

PROVIDENCE CARDIOLOGY LLC
Internal Medicine (Interventional Cardiology)
506 NORTH ST
BAMBERG, SC 29003
Bamberg County (803) 245-6290
MUSC COMMUNITY PHYSICIANS
Internal Medicine
506 NORTH ST
BAMBERG, SC 29003
Bamberg County (803) 245-6290
MUSC COMMUNITY PHYSICIANS
Family Medicine
506 NORTH ST
BAMBERG, SC 29003
Bamberg County (803) 245-6290

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 South Carolina Heart Center PA's NPI number?

The NPI number for South Carolina Heart Center PA is 1104088707. It was assigned to this organization in the NPPES registry on June 26, 2008.

Where is South Carolina Heart Center PA located?

South Carolina Heart Center PA is located at 506 North St, Bamberg, SC 29003. The listed phone number is (803) 245-6290.

What is South Carolina Heart Center PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does South Carolina Heart Center PA accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, CVS Pharmacy #03578 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for South Carolina Heart Center PA was last updated on June 26, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.