Provider Demographics
NPI:1114761384
Name:INNOVATIVE HEALTHCARE CONSULTING GROUP LLC
Entity type:Organization
Organization Name:INNOVATIVE HEALTHCARE CONSULTING GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:FELECHIA
Authorized Official - Last Name:CLINKSCALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-883-4282
Mailing Address - Street 1:316 BATTERY PARK CIR
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-2357
Mailing Address - Country:US
Mailing Address - Phone:864-883-4282
Mailing Address - Fax:
Practice Address - Street 1:316 BATTERY PARK CIR
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-2357
Practice Address - Country:US
Practice Address - Phone:864-883-4282
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-22
Last Update Date:2024-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health