Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providence Hospital LLC

Organization Diagnostic Radiology Physician · NPI 1427418318

Providence Hospital LLC is a Diagnostic Radiology Physician in Columbia, South Carolina. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2435 Forest Dr
Columbia, SC 29204-2026
Phone: (803) 256-5640
Fax: (803) 256-5913
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X
Physical Therapist Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1427418318
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Seraphine — President · (615) 920-7000
Other names Hospital Professional Services
NPI enumeratedMarch 4, 2016
Last updated in NPPESFebruary 22, 2017
Mailing address2435 Forest Dr, Columbia, SC 29204-2026

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