EDISTO REGIONAL HEALTH SERVICES, INC. (NPI# 1013060953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013060953 |
| Entity Type | Organization |
| Organization Name | EDISTO REGIONAL HEALTH SERVICES, INC. |
| Other Organization Name | RMC PRIMARY CARE HOLLY HILL |
| Practice Address |
187 Bunch Ford Road Holly Hill SC 29059-8224 |
| Mailing Address |
Po Box 1245 Orangeburg SC 29116-1245 |
| Practice Telephone | 8034963312 |
| Practice Fax Number | 8034967713 |
| Mailing Telephone | 8033954497 |
| Mailing Fax Number | 8033952237 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2015-10-23 |
| Authorized Official Name | CHERYL S MASON (C.F.O.) |
| Authorized Official Telephone | 8033952224 |
| Is Organization Subpart | Y |
| Parent Organization Name | EDISTO REGIONAL HEALTH SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RRMEDICARE | CK8831 | 01 |
| SC | GP2353 | 05 | |
| SC | RHC012 | 05 | |
| SC | BCBS | 004 | 01 |
| SC | TRICARE | 003 | 01 |
| SC | BLUECHOICE | 004 | 01 |
| SC | RRMEDICARE | CN8991 | 01 |
| Other Name | Type Code |
|---|---|
| RMC Primary Care Holly Hill | Doing Business As Name - Organization |
| Street Address |
187 BUNCH FORD ROAD |
| City | HOLLY HILL |
| State | SC |
| Zip Code | 29059-8224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952350142 | Edisto Regional Health Services Inc. | Family Medicine | 187 Bunch Ford Road, Holly Hill, SC 29059 | 2006-05-08 |
| 1740496165 | Constance B Simons | Nurse Practitioner | 187 Bunch Ford Road, Holly Hill, SC 29059 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376918979 | Community Organization for Rights and Empowerment | Voluntary or Charitable | 1250 Unity Road, Holly Hill, SC 29059 | 2015-12-08 |
| 1518351139 | Holly Street Drugs, LLC | Pharmacy | 904 Holly Street, Holly Hill, SC 29059 | 2015-03-20 |
| 1710310735 | Troy Blakely Lamb | Pharmacist | 8530 Old State Rd., Holly Hill, SC 29059 | 2013-08-13 |
| 1861742231 | Michael James Myers | Pharmacist | 8523 Old State Road, Holly Hill, SC 29059 | 2012-09-13 |
| 1215208822 | Robert Rodelsperger Dmd Pa | Dentist | 912 Holly St, Holly Hill, SC 29059 | 2012-01-13 |
| 1053624262 | Stephanie R Jamison | Counselor | 421 Gardener Boulevard, Holly Hill, SC 29059 | 2010-07-16 |
| 1619158771 | Adams Optical Dba Holly Hill Eye Clinic | Optometrist | 190 Rental Dr., Holly Hill, SC 29059 | 2007-11-16 |
| 1780736710 | Total Comfort Adult Daycare | Home Health | 1706 Camden Rd, Holly Hill, SC 29059 | 2007-01-18 |
| 1255490314 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8523 Old State Rd, Holly Hill, SC 29059 | 2006-12-06 |
| 1881797900 | Chucks Pharmacy Inc | Pharmacy | 904 Holly St, Holly Hill, SC 29059 | 2006-09-06 |
| Find all providers in zip 29059 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1508482050 | The Palmetto Clinics, LLC | Clinic/Center | 463 Calhoun Ave Ste A-2, Greenwood, SC 29649-2063 | 2020-06-21 |
| 1962969154 | The Palmetto Palace | Clinic/Center | 217 Flat St E, Allendale, SC 29810-4647 | 2019-02-25 |
| 1972014652 | Mcleod Physician Associates II | Clinic/Center | 1040 Marlboro Way Ste 1, Bennettsville, SC 29512-2494 | 2017-10-20 |
| 1508377284 | Mcleod Physician Associates II | Clinic/Center | 1076 Marlboro Way Ste 3, Bennettsville, SC 29512-2495 | 2017-10-20 |
| 1154786960 | R Dale Padgett Md Pa | Clinic/Center | 1727 Villagepark Dr, Orangeburg, SC 29118 | 2015-12-21 |
| 1043602428 | Greenville Health System | Clinic/Center | 208 Frontage Rd Ste 1, Clemson, SC 29631-1671 | 2015-02-23 |
| 1114204153 | Mcleod Physician Associates II | Clinic/Center | 5260 Highway 9, Green Sea, SC 29545-4930 | 2011-11-04 |
| 1700160157 | Mackey Family Practice, Pa | Clinic/Center | 8351 Charlotte Hwy, Suite 200, Indian Land, SC 29707-6552 | 2011-10-04 |
| 1588943021 | Edisto Regional Health Services Inc. | Clinic/Center | 185 Mcgee St, Bamberg, SC 29003-1154 | 2011-08-16 |
| 1124307509 | Coastal Carolina Medical Center, Inc | Clinic/Center | 10911 N Jacob Smart Blvd, D, Ridgeland, SC 29936-2729 | 2011-08-16 |
| Find all providers with the same taxonomy | ||||
| City | HOLLY HILL |
| Zip Code | 29059 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.