Provider Demographics
NPI:1114181708
Name:ELECTRONIC HEALTH NETWORK, LLC
Entity Type:Organization
Organization Name:ELECTRONIC HEALTH NETWORK, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:843-735-5044
Mailing Address - Street 1:3527 MARY ADER AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-5862
Mailing Address - Country:US
Mailing Address - Phone:843-735-5044
Mailing Address - Fax:800-861-1491
Practice Address - Street 1:3527 MARY ADER AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-5862
Practice Address - Country:US
Practice Address - Phone:843-735-5044
Practice Address - Fax:800-861-1491
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ELECTRONIC HEALTH NETWORK, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-07-14
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Y00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health InformationGroup - Multi-Specialty
No1744R1102XOther Service ProvidersSpecialistResearch StudyGroup - Multi-Specialty
No1744R1103XOther Service ProvidersSpecialistResearch Data Abstracter/CoderGroup - Multi-Specialty
No247000000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Health InformationGroup - Multi-Specialty