Provider Demographics
NPI:1134692676
Name:VERITAS HEALTH GROUP. LLC
Entity Type:Organization
Organization Name:VERITAS HEALTH GROUP. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTION OF BILLING
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:SANFORD
Authorized Official - Last Name:ERIKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-399-8793
Mailing Address - Street 1:PO BOX 8746
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29202-8746
Mailing Address - Country:US
Mailing Address - Phone:803-399-8793
Mailing Address - Fax:
Practice Address - Street 1:247 COLUMBIA AVE
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-2611
Practice Address - Country:US
Practice Address - Phone:803-399-8793
Practice Address - Fax:803-675-5516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-08
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP8897Medicaid