Provider Demographics
NPI:1073689212
Name:HAMMOND-BEYER HEALTH CENTER PA
Entity type:Organization
Organization Name:HAMMOND-BEYER HEALTH CENTER PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMMOND-BEYER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:803-649-1246
Mailing Address - Street 1:920 HOUNDSLAKE DR
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29803-5924
Mailing Address - Country:US
Mailing Address - Phone:803-649-1246
Mailing Address - Fax:803-649-3541
Practice Address - Street 1:920 HOUNDSLAKE DR
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29803-5924
Practice Address - Country:US
Practice Address - Phone:803-649-1246
Practice Address - Fax:803-649-3541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCT237404172Medicare UPIN