MIT AMBULATORY CARE CENTER (NPI# 1043533896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043533896 |
| Entity Type | Organization |
| Organization Name | MIT AMBULATORY CARE CENTER |
| Practice Address |
149 Riverwalk Blvd Suite 6 Ridgeland SC 29936-8190 |
| Mailing Address |
Po Box 13663 Savannah GA 31416-0663 |
| Practice Telephone | 9126910333 |
| Practice Fax Number | 9126911030 |
| Mailing Telephone | 9126910333 |
| Mailing Fax Number | 9126911030 |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2011-01-07 |
| Authorized Official Name | MR. WILLIAM C. PARKER (CEO) |
| Authorized Official Telephone | 9129251905 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
GA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689632432 | Mit Ambulatory Care Center | Clinic/Center | 115 Echols Ave, Savannah, GA 31406-2527 | 2006-05-02 |
| 1447218144 | Mit Ambulatory Care Center | Clinic/Center | 208 Pitcarin Way, Augusta, GA 30909-5766 | 2006-05-02 |
| 1538127386 | Mit Ambulatory Care Center | Clinic/Center | 115 Echols Ave, Savannah, GA 31406-2527 | 2006-05-02 |
| Street Address |
149 RIVERWALK BLVD SUITE 6 |
| City | RIDGELAND |
| State | SC |
| Zip Code | 29936-8190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447204797 | Gordon Thomas | Physical Therapist | 149 Riverwalk Blvd, Suite 2, Ridgeland, SC 29936-8190 | 2006-05-20 |
| 1033650304 | Jared Edward Jodon | Chiropractor | 149 Riverwalk Blvd, Suite 6, Ridgeland, SC 29936-8190 | 2017-03-20 |
| 1831637065 | Jodon Chiropractic Clinic Inc. | Chiropractor | 149 Riverwalk Blvd, Suite 6, Ridgeland, SC 29936-8190 | 2017-02-08 |
| 1881004570 | Health Services of The Lowcountry | Pharmacy | 149 Riverwalk Blvd, Suite 1, Ridgeland, SC 29936-8190 | 2014-05-02 |
| 1164732574 | Bollin Optometry LLC | Optometrist | 149 Riverwalk Blvd, Ridgeland, SC 29936-8190 | 2010-10-19 |
| 1417266768 | Lowcountry Compounding Pharmacy | Pharmacy | 149 Riverwalk Blvd, Suite 1, Ridgeland, SC 29936-8190 | 2010-10-05 |
| 1598088353 | Medical Infusion Technologies,inc | Home Infusion | 149 Riverwalk Blvd, Suite 6, Ridgeland, SC 29936-8190 | 2010-03-09 |
| 1639332075 | Daniel Reames Optometry, LLC | Optometrist | 149 Riverwalk Blvd, Suite 7, Ridgeland, SC 29936-8190 | 2008-07-07 |
| 1386783934 | East Coast Isotopes | Pharmacist | 149 Riverwalk Blvd, Suite 11, Ridgeland, SC 29936-8190 | 2007-02-06 |
| 1780732925 | Riverwalk Pharmacy Inc. | Pharmacy | 149 Riverwalk Blvd, Suite 10, Ridgeland, SC 29936-8190 | 2007-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699316075 | Ghc-hilton Head, LLC | Hospice Care, Community Based | 65 Schinger Avenue, Suite 103, Ridgeland, SC 29936 | 2019-10-07 |
| 1568884385 | Kristen Reeves | Occupational Therapist | 10616 South Jacob Smart Boulevard, Ridgeland, SC 29936 | 2014-01-14 |
| 1942547138 | Jennifer Loadholt Moore | Social Worker | 204 North Railroad Avenue, Ridgeland, SC 29936 | 2013-01-09 |
| 1568719649 | Jennifer Lynn Coleman | Counselor | 203 N. Railroad Ave., Ridgeland, SC 29936 | 2012-08-08 |
| 1184945925 | Niles Edemeka Carter | Obstetrics & Gynecology | 1320 S. Ribaut Rd, Port Royal, SC 29936 | 2010-06-16 |
| 1831328459 | Jamie Singleton | Pediatrics | 1320 S. Ribaut Rd., Beaufort, SC 29936 | 2009-07-02 |
| 1487801668 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 721 Okatie Hwy 170, Ridgeland, SC 29936 | 2008-08-19 |
| 1295912004 | Ridgeland Dialysis LLC | Clinic/Center | 112 Weathersbee St, Ridgeland, SC 29936 | 2008-01-23 |
| 1518143221 | Ridgeland Eye Associates LLC | Ophthalmology | 10668 South Jacob Smart Boulevard, Ridgeland, SC 29936 | 2008-01-11 |
| 1053594713 | Caring Hands Health Equipment & Supplies, Inc. | Durable Medical Equipment & Medical Supplies | 107d East Main Street, Ridgeland, SC 29936 | 2007-12-17 |
| Find all providers in zip 29936 | ||||
| Taxonomy Code | 261QI0500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Infusion Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760038848 | Intramed Plus Infusion & Medical Services, Pa | Clinic/Center | 1200 Woodruff Rd Ste G24, Greenville, SC 29607-5735 | 2019-08-14 |
| 1891232880 | Palmetto Health | Clinic/Center | 3010 Farrow Rd Ste 110, Columbia, SC 29203-7603 | 2017-01-27 |
| 1285874925 | Anderson Health & Wellness Center LLC | Clinic/Center | 1510 N Fant St, Anderson, SC 29621-4708 | 2009-02-20 |
| 1942369624 | Prisma Health-midlands | Clinic/Center | Palmetto Health - Enhanced Medicaid, 3301 Harden St Ext 7mp, Columbia, SC 29203-9965 | 2006-12-08 |
| 1649359928 | Homechoice Partners, Inc | Clinic/Center | 160 Congress Blvd, Ste D, Duncan, SC 29334-9478 | 2006-11-06 |
| 1932132073 | Palmetto State Staffing Group, LLC | Clinic/Center | 113 Cherokee Rd, Suite 2, Florence, SC 29501-5247 | 2006-07-09 |
| 1730734468 | Intramed Plus Infusion & Medical Services, Pa | Clinic/Center | 112 Saluda Ridge Ct Ste 200, West Columbia, SC 29169-3461 | 2019-08-08 |
| 1770039885 | Prisma Health-upstate | Clinic/Center | 701 Grove Rd, Greenville, SC 29605-4210 | 2016-08-29 |
| 1588737498 | Kershaw Hospital LLC | Clinic/Center | 1315 Roberts St, Camden, SC 29020-3737 | 2006-11-16 |
| 1538177019 | Greenville Health System | Clinic/Center | 701 Grove Rd, Greenville, SC 29605-5611 | 2006-08-03 |
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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.