FAMILY HEALTH CENTERS, INC. (NPI# 1043661093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043661093 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH CENTERS, INC. |
| Other Organization Name | FAMILY HEALTH CENTERS DENTAL MOBILE UNIT |
| Practice Address |
3310 Magnolia St Orangeburg SC 29115-1466 |
| Practice Telephone | 8035316900 |
| Practice Fax Number | 8035316907 |
| Mailing Telephone | 8035316900 |
| Mailing Fax Number | 8035316907 |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2016-06-30 |
| Authorized Official Name | LEON A BRUNSON SR. (CEO) |
| Authorized Official Telephone | 8035316900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Family Health Centers Dental Mobile Unit | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649732603 | Family Health Centers, Inc. | Clinic/Center | 4803 Southside Dr, Louisville, KY 40214-2111 | 2019-04-01 |
| 1669676201 | Family Health Centers, Inc. | Clinic/Center | 7061 Norway Rd, Neeses, SC 29107-9021 | 2007-06-14 |
| 1619171972 | Family Health Centers, Inc. | Clinic/Center | 655 Laurel St, Orangeburg, SC 29115-4834 | 2007-06-12 |
| 1700080066 | Family Health Centers, Inc. | Clinic/Center | 5616 Carolina Hwy, Denmark, SC 29042-2240 | 2007-06-12 |
| 1578774477 | Family Health Centers, Inc. | Clinic/Center | 4805 Southside Dr, Louisville, KY 40214-2111 | 2007-05-24 |
| 1871546119 | Family Health Centers, Inc. | Clinic/Center | 1000 Neighborhood Pl, Fairdale, KY 40118-9697 | 2006-05-18 |
| 1427574862 | Family Health Centers, Inc. | Clinic/Center | 2500 W Market St, Louisville, KY 40212-1541 | 2017-08-17 |
| 1770934739 | Family Health Centers, Inc. | Optometrist | 3310 Magnolia St, Orangeburg, SC 29115-1466 | 2016-06-30 |
| 1285043935 | Family Health Centers, Inc. | Pharmacy | 834 E Broadway, Louisville, KY 40204-1072 | 2014-08-07 |
| 1982944195 | Family Health Centers, Inc. | Clinic/Center | 7061 Norway Rd, Neeses, SC 29107-9021 | 2013-02-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAMILY HEALTH CENTERS, INC. | 2215 Portland Ave, Louisville, KY 40212-1033 |
| Street Address |
3310 MAGNOLIA ST |
| City | ORANGEBURG |
| State | SC |
| Zip Code | 29115-1466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316911225 | Penelope Jean Bowman | Advanced Practice Midwife | 3310 Magnolia St, Orangeburg, SC 29115-1466 | 2006-02-15 |
| 1992328157 | Angelia R Simpson | Registered Nurse | 3310 Magnolia St, Orangeburg, SC 29115-1468 | 2020-05-22 |
| 1255988697 | Lauren Marie Svensen | Nurse Practitioner | 3310 Magnolia St, Orangeburg, SC 29115-1466 | 2019-08-21 |
| 1790331114 | Brittany Kohn | Nurse Practitioner | 3310 Magnolia St, Orangeburg, SC 29115-1466 | 2019-08-12 |
| 1457917775 | Asha Charmaine Givens | Social Worker | 3310 Magnolia St, Orangeburg, SC 29115-1466 | 2019-05-13 |
| 1225591241 | David Kenneth Marple | Dentist | 3310 Magnolia St, Orangeburg, SC 29115-1466 | 2019-04-08 |
| 1215423975 | Kayla Sanders | Nurse Practitioner | 3310 Magnolia St, Orangeburg, SC 29115-1466 | 2018-07-06 |
| 1104312214 | Melanie Kittrell | Midwife | 3310 Magnolia St, Orangeburg, SC 29115 | 2018-07-02 |
| 1518473420 | Sherry Jones | Advanced Practice Midwife | 3310 Magnolia St, Orangeburg, SC 29115-1466 | 2017-12-15 |
| 1235643248 | Breanna J Linder | Social Worker | 3310 Magnolia St, Orangeburg, SC 29115-1466 | 2017-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306326640 | Orange Cut Rate Drug Store, Inc | General Practice | 1326 Grove Park Dr, Orangeburg, SC 29115 | 2018-08-16 |
| 1821528639 | Shonta Tenisha Westbury | Speech-Language Pathologist | 1890 Dellwood Drive, Orangeburg, SC 29115 | 2017-06-14 |
| 1356870794 | All Your Needs Home Care Services, LLC | Respite Care | 133 Boulevard Street, Orangeburg, SC 29115 | 2017-06-08 |
| 1376090860 | Hanna Bozard | Pharmacist | 332 Stone Wall Jackson Blvd, Orangeburg, SC 29115 | 2016-09-01 |
| 1417309956 | Marian Mitchell Oliver Corp. | Dentist | 939 Jc Calhoun Drive, Orangeburg, SC 29115 | 2016-07-08 |
| 1750766119 | Holly Able | Pharmacist | 332 Stonewall Jackson Blvd., Orangeburg, SC 29115 | 2015-07-28 |
| 1104211234 | Sheryl Durant Singleton | Nurse Practitioner | 1857 Joe S Jeffords Hwy, Orangeburg, SC 29115 | 2015-04-06 |
| 1982012696 | Jeremy Morry Eith | Specialist/Technologist | 300 College Street, Orangeburg, SC 29115 | 2014-07-25 |
| 1629495841 | Kathy Beeks | Registered Nurse | 1550 Carolina Avenue, Carolina Avenue, Orangeburg, SC 29115 | 2014-03-26 |
| 1538509534 | Thomas Charles Haynes Jr. | Audiologist | 1655 Carolina Ave., Orangeburg, SC 29115 | 2013-07-05 |
| Find all providers in zip 29115 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851752810 | Gamble Dentalsmart PC | Dentist | 403 Stonewall Jackson Blvd, Orangeburg, SC 29115-7282 | 2016-03-17 |
| 1043457799 | Randolph Charles Bryson | Dentist | 1350 Grove Park Dr, Orangeburg, SC 29115-2455 | 2009-01-17 |
| 1285859348 | United Dental Group, LLC | Dentist | 4215 North Rd, Orangeburg, SC 29118-1128 | 2007-04-16 |
| 1497887491 | Michael Everette Salley | Dentist | 924 Bennett St, Orangeburg, SC 29115-4214 | 2007-03-12 |
| 1356491435 | William Eugene Atkinson | Dentist | 1681 Carolina Ave, Orangeburg, SC 29115-4939 | 2007-01-11 |
| 1053472563 | Robert A. Varn | Dentist | 695 Laurel St, Orangeburg, SC 29115-4834 | 2006-12-12 |
| 1043378870 | L Jarrette Burckhalter Iv | Dentist | 1643 Carolina Avenue, Orangeburg, SC 29115 | 2006-12-05 |
| 1932130606 | Dwight Delano Mcmillan Jr. | Dentist | 939 Calhoun Drive, Orangeburg, SC 29115-6763 | 2006-07-05 |
| 1770538209 | John W. Rheney IIi | Dentist | 882 Cook Road, Orangeburg, SC 29118-2126 | 2006-05-23 |
| 1912964354 | Murtuza Ansari | Dentist | 1340 Park St, Orangeburg, SC 29115-4880 | 2006-04-28 |
| Find all providers in ORANGEBURG | ||||
| City | ORANGEBURG |
| Zip Code | 29115 |
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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.