Provider Demographics
NPI:1942974308
Name:HOUSE CALLS NPS PRIMARY CARE
Entity Type:Organization
Organization Name:HOUSE CALLS NPS PRIMARY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELLA
Authorized Official - Middle Name:P
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:803-378-6638
Mailing Address - Street 1:960 DANTZLER ST
Mailing Address - Street 2:
Mailing Address - City:ORANGEBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29115-4322
Mailing Address - Country:US
Mailing Address - Phone:803-378-6638
Mailing Address - Fax:803-747-7297
Practice Address - Street 1:960 DANTZLER ST
Practice Address - Street 2:
Practice Address - City:ORANGEBURG
Practice Address - State:SC
Practice Address - Zip Code:29115-4322
Practice Address - Country:US
Practice Address - Phone:803-378-6638
Practice Address - Fax:803-747-7297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-08
Last Update Date:2021-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care