Healthcare Provider Details

I. General information

NPI: 1588761860
Provider Name (Legal Business Name): SMARTCARE OPERATIONS GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1858 REMOUNT RD
NORTH CHARLESTON SC
29406-3270
US

IV. Provider business mailing address

5299 DTC BLVD SUITE 800
GREENWOOD VILLAGE CO
80111-3321
US

V. Phone/Fax

Practice location:
  • Phone: 843-266-6962
  • Fax: 843-266-6965
Mailing address:
  • Phone: 303-770-0507
  • Fax: 303-770-0501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JASON FIXSEL
Title or Position: INSURANCE CONTRACTING
Credential:
Phone: 303-457-5749