CITY OF MYRTLE BEACH - N KINGS HWY
NPI 1871269274
Clinic/Center - Multi-Specialty in Myrtle Beach, SC
About City Of Myrtle Beach - N Kings Hwy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CITY OF MYRTLE BEACH - N KINGS HWY (NPI 1871269274) is a healthcare organization registered as a multi-specialty in Myrtle Beach, South Carolina and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through June 9, 2028 and lists Jon Leizman, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 42D2008406
Premise Health Of South Carolina Medical PC · Myrtle Beach, SCFrequently 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 Premise Health Of South Carolina Medical, P.C's NPI number?
The NPI number for Premise Health Of South Carolina Medical, P.C is 1871269274. It was assigned to this organization in the NPPES registry on August 17, 2021. The provider is doing business as City Of Myrtle Beach - N Kings Hwy.
Where is Premise Health Of South Carolina Medical, P.C located?
Premise Health Of South Carolina Medical, P.C is located at 1517 N Kings Hwy, Myrtle Beach, SC 29577. The listed phone number is (843) 918-2040.
What is Premise Health Of South Carolina Medical, P.C's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Does Premise Health Of South Carolina Medical, P.C hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 42D2008406) is associated with this NPI, valid through June 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Premise Health Of South Carolina Medical, P.C was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# City Of Myrtle Beach - N Kings Hwy · NPI 1871269274
Multi-Specialty organization in Myrtle Beach, South Carolina. Organization record, active in the CMS NPPES registry since August 17, 2021.
## Identity
- **NPI:** 1871269274 (Entity type: Organization)
- **Enumerated:** August 17, 2021
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Legal business name:** Premise Health Of South Carolina Medical, P.c
- **Organization subpart:** No
- **Authorized official:** Jon Leizman, PRESIDENT
## Practice location
- **Address:** 1517 N KINGS HWY, Myrtle Beach, SC 29577-3640
- **Phone:** (843) 918-2040
## Record status
- **NPPES last updated:** August 23, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1871269274) · Data from the CMS NPPES public registry.