Healthcare Provider Details

I. General information

NPI: 1114587631
Provider Name (Legal Business Name): REGIONAL HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2019
Last Update Date: 01/29/2020
Certification Date: 01/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3037 MCNAUGHTON DR STE A
COLUMBIA SC
29223-1851
US

IV. Provider business mailing address

PO BOX 95006
BATON ROUGE LA
70895-9006
US

V. Phone/Fax

Practice location:
  • Phone: 800-737-6522
  • Fax: 866-930-8001
Mailing address:
  • Phone: 800-737-6522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: RANDALL CHARLES FABRE
Title or Position: DIRECTOR
Credential:
Phone: 225-629-3000