LOW COUNTRY HEALTH CARE SYSTEM, INC (NPI# 1053475566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053475566 |
Entity Type | Organization |
Organization Name | LOW COUNTRY HEALTH CARE SYSTEM, INC |
Other Organization Name | LOW COUNTRY HEALTH CARE SYSTEM |
Practice Address |
333 Revolutionary Trail Farifax SC 29827 |
Mailing Address |
Po Box 990 Fairfax SC 29827 |
Practice Telephone | 8036322533 |
Practice Fax Number | 8036321537 |
Mailing Telephone | 8036322533 |
Mailing Fax Number | 8036321537 |
Enumeration Date | 2006-12-20 |
Last Update Date | 2020-02-03 |
Authorized Official Name | MEGAN ANDERSON (PHARMACIST) |
Authorized Official Telephone | 8036322533 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | DEA | BL6736182 | 01 |
SC | 751105 | 05 |
Other Name | Type Code |
---|---|
Low Country Health Care System | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649366022 | Low Country Health Care System, Inc | Clinic/Center | 333 Revoluntionary Trail, Fairfax, SC 29827-7109 | 2006-10-05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | LOW COUNTRY HEALTH CARE SYSTEM, INC. | 333 Revolutionary Trail, Fairfax, SC 29827-7109 |
Street Address |
333 REVOLUTIONARY TRAIL |
City | FARIFAX |
State | SC |
Zip Code | 29827 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467843078 | We Care Family Resource LLC | Point of Service | 513 Bayshore Dr., Fairfax, SC 29827 | 2015-02-18 |
1154606440 | Robert M. Haberkorn Dds | Clinic/Center | 1987 Allendale Fairfax Hwy., Fairfax, SC 29827 | 2011-10-18 |
1144370503 | Allendale County Hospital Board | Clinic/Center | 1787 Allendale Fairfax Highway, Fairfax, SC 29827 | 2007-01-10 |
1336246677 | Allendale County Hospital Board | Skilled Nursing Facility | 185 Revolutionary Trail, Fairfax, SC 29827 | 2006-09-20 |
1881646669 | Shenika L. Marshall-hill | Counselor | 1594 Beaufort Ave. S., Fairfax, SC 29827 | 2006-05-17 |
1497745012 | Robert M Haberkorn | Dentist | 1987 Allendale-fairfax Hwy, Fairfax, SC 29827 | 2005-10-25 |
1073575171 | Dva Healthcare Renal Care Inc | Clinic/Center | 1241 Boundry St W, Fairfax, SC 29827-3611 | 2006-04-04 |
1811384340 | Marie Moore | Registered Nurse | 894 7th St W, Fairfax, SC 29827-4880 | 2015-04-22 |
1528309606 | Portereshice Shunta Brabham | Health Maintenance Organization | 345 Amelia St, Fairfax, SC 29827-5967 | 2013-03-14 |
1851811988 | Kelly Futch Wall | Speech-Language Pathologist | 1460 Pocotaligo Rd, Fairfax, SC 29827-6826 | 2017-06-20 |
Find all providers in zip 29827 |
Taxonomy Code | 3336C0002X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Clinic Pharmacy |
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003371386 | Tandem Health Sc | Pharmacy | 368 S Pike W, Sumter, SC 29150-2664 | 2019-01-31 |
1962805291 | Palmetto Carolina Treatment Center, LLC | Pharmacy | 325 Inglesby Pkwy Unit F, Duncan, SC 29334-9117 | 2014-10-01 |
1215338058 | Trust Concierge Pharmaceuticals LLC | Pharmacy | 4999 Carolina Forest Blvd Ste 13, Myrtle Beach, SC 29579-3587 | 2014-09-11 |
1689950636 | Crossroads Treatment Center of Columbia | Pharmacy | 1421 Bluff Rd, Columbia, SC 29201-4809 | 2011-10-21 |
1447584115 | Kerr Health, LLC | Pharmacy | 5060 International Blvd Ste 102, Charleston, SC 29418-6008 | 2009-09-28 |
1184844458 | Greenwood Family Practice Inc | Pharmacy | 1226 Spring St, Greenwood, SC 29646-3835 | 2007-04-27 |
1619032034 | Recovery Concepts of Carolina Upst LLC | Pharmacy | 1653 E Main St, Easley, SC 29640-3791 | 2006-12-26 |
1568544591 | Community Medical Center | Pharmacy | 10278 Old #6 Highway, Vance, SC 29163 | 2006-10-19 |
1295840148 | Medical University of Sc | Pharmacy | 650 Ellis Oak Dr Rm 119, Charleston, SC 29412-3089 | 2006-08-20 |
1760596746 | Recovery Concepts LLC | Pharmacy | 124 Boardwalk Dr Ste A, Ridgeland, SC 29936-7994 | 2006-08-18 |
Find all providers with the same taxonomy |
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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.