SOUTHEAST PULMONARY AND CRITICAL CARE LLC
NPI 1275830507
Clinic/Center - Medical Specialty in Rock Hill, SC
NPI Status: Active since February 23, 2011
Contact Information
370 S HERLONG AVE
SUITE 200
ROCK HILL, SC
ZIP 29732
Phone: (803) 980-5864
Fax: (803) 980-5817
- Organization
- Clinic/Center
- Medical Specialty
- Accepts Insurance
- CLIA Number: 42D0999720
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 05-20-2026
About SOUTHEAST PULMONARY AND CRITICAL CARE LLC
This page provides the complete NPI Profile along with additional information for Southeast Pulmonary And Critical Care Llc, a provider established in Rock Hill, South Carolina operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1275830507 assigned on February 2011. The practitioner's primary taxonomy code is 261QM2500X with license number 21599 (SC). The provider is registered as an organization and their NPI record was last updated April 2026. The authorized official of this NPI record is Clay W Spence (Administrator)
- NPI
- 1275830507
- Provider Name
- SOUTHEAST PULMONARY AND CRITICAL CARE LLC
- Entity Type
- Organization
- Location Address
- 370 S HERLONG AVE SUITE 200 ROCK HILL, SC 29732
- Location Phone
- (803) 980-5864
- Location Fax
- (803) 980-5817
- Mailing Address
- 370 HERLONG AVE S STE 200 ROCK HILL, SC 29732
- Mailing Phone
- (803) 980-5864
- Mailing Fax
- (803) 980-5817
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-23-2011
- Last Update Date
- 04-03-2026
- Code Navigator
Location Map
Secondary Locations
- 201 Richard St Ste B
Easley, SC 29640
(864) 850-0700
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Medical Specialty
- Taxonomy Code
- 261QM2500X
- Type
- Ambulatory Health Care Facilities
- License No.
- 21599
- License State
- SC
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center | 21599 (SC) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Direction Bronze 1 - POS
- Blue Direction Silver 1 - POS
- Blue Direction Silver 1 + Adult Vision - POS
- Blue Direction Silver 2 - POS
- Blue Direction Standard Expanded Bronze - POS
- Blue Direction Standard Gold - POS
- Blue Direction Standard Silver - POS
- Blue VirtuConnect Bronze 1 - EPO
- Blue VirtuConnect Gold 1 - EPO
- Blue VirtuConnect Silver 1 - EPO
- BlueEssentials Bronze 4 - EPO
- BlueEssentials Bronze 6 - EPO
- BlueEssentials Gold 1 - EPO
- BlueEssentials Gold 5 - EPO
- BlueEssentials Silver 14 - EPO
- BlueEssentials Silver 14 + Adult Vision - EPO
- BlueEssentials Silver 40 - EPO
- BlueEssentials Standard Expanded Bronze - EPO
- BlueEssentials Standard Gold - EPO
- BlueEssentials Standard Silver - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 215992 | MEDICAID (05) | SC |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 42D0999720
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- May 21, 2024
- Certificate Expiration Date
- May 20, 2026
- Laboratory Director
- DR. STEPHEN J. POCIASK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Southeast Pulmonary And Critical Care Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1275830507, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 53 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
ROCK HILL, SC 29732
ROCK HILL, SC 29732
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275830507, enumerated as an "organization" on February 23, 2011.
The provider is located at 370 S HERLONG AVE SUITE 200 ROCK HILL, SC 29732 and the phone number is (803) 980-5864.
Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.
The provider might be accepting Accepts: BlueCross BlueShield of South Carolina, Medicare. Please consult your insurance carrier or call the provider to verify.
