Provider Demographics
NPI:1255801973
Name:SUNSPIRE HEALTH HILTON HEAD LLC
Entity type:Organization
Organization Name:SUNSPIRE HEALTH HILTON HEAD LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:TUVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-622-3605
Mailing Address - Street 1:19820 N 7TH ST STE 205
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85024-1694
Mailing Address - Country:US
Mailing Address - Phone:928-684-4039
Mailing Address - Fax:623-581-7624
Practice Address - Street 1:11 ARLEY WAY STE 101
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-4883
Practice Address - Country:US
Practice Address - Phone:843-473-3350
Practice Address - Fax:843-473-3333
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUNSPIRE HILTON HEAD LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-11-26
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health