Provider Demographics
NPI:1154509990
Name:SUMMITT HEALTH SOLUTIONS, LLC
Entity Type:Organization
Organization Name:SUMMITT HEALTH SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SAVAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-419-3129
Mailing Address - Street 1:1116 HAMILTON PLACE CIR
Mailing Address - Street 2:STE. A
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-7693
Mailing Address - Country:US
Mailing Address - Phone:803-419-3129
Mailing Address - Fax:803-419-3195
Practice Address - Street 1:1116 HAMILTON PLACE CIR
Practice Address - Street 2:STE. A
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-7693
Practice Address - Country:US
Practice Address - Phone:803-419-3129
Practice Address - Fax:803-419-3195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-04
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC20083520634340332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies