=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043311087
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AIKEN CENTER FOR FAMILY HEALTH LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/25/2006
-----------------------------------------------------
Last Update Date | 09/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 415 BARNWELL AVE NW
-----------------------------------------------------
City | AIKEN
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29801-3937
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 803-644-4403
-----------------------------------------------------
Fax | 803-644-4405
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 415 BARNWELL AVE NW
-----------------------------------------------------
City | AIKEN
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29801-3937
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 803-644-4403
-----------------------------------------------------
Fax | 803-644-4405
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRACTICE MANAGER
-----------------------------------------------------
Name | PATRICIA FIGUEROA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 803-644-4403
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2300X
-----------------------------------------------------
Taxonomy Name | Primary Care Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | SC
-----------------------------------------------------