MEDICARE: ME PIVOT HOLDINGS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237700000X	Hearing Instrument Specialist

General Provider Information

NPI Number	:	1194291385
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ME PIVOT HOLDINGS LLC

Provider Business Mailing Address
First Line	:	150 S 5TH ST STE 2300
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55402-4223
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2921 AUGUSTA RD STE B
Second Line	:
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29170-3319
Country	:	US
Telephone Number	:	803-939-0003
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KEN HALL
Credential	:
Telephone Number	:	763-268-4000

Provider Enumeration Date	:	10/16/2018
Last Update Date	:	01/19/2022

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1841808359 — LORI HUNTER HIS
Practice Location Address:

2921 AUGUSTA RD STE B
WEST COLUMBIA, SC
29170-3319

Practice Phone: 803-543-2782
Practice Fax:

1871551390 — PALMETTO IMAGING, LLC
Practice Location Address:

1331 LADY STREET
COLUMBIA, SC
29201-3319

Practice Phone: 770-300-0101
Practice Fax: 770-300-0429

1326093428 — DR. ROBIN DAUM-KOWALSKI MD
Practice Location Address:

1331 LADY ST
COLUMBIA, SC
29201-3319

Practice Phone: 803-256-7646
Practice Fax: 803-256-8046

1104416940 — CHERRY ANN JENKINS
Practice Location Address:

215 UNITY DR
COLUMBIA, MO
65203-3319

Practice Phone: 573-268-6542
Practice Fax:

1528901295 — OUTPATIENT IMAGING LLC
Practice Location Address:

1331 LADY ST
COLUMBIA, SC
29201-3319

Practice Phone: 615-261-2306
Practice Fax: 855-588-3545

Directions to “ME PIVOT HOLDINGS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.