SANDHILLS MEDICAL FOUNDATION INC (NPI# 1083228779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083228779 |
| Entity Type | Organization |
| Organization Name | SANDHILLS MEDICAL FOUNDATION INC |
| Practice Address |
103 Main Street South Bethune SC 29009 |
| Mailing Address |
1111 Broad St Ste 3d Camden SC 29020-3610 |
| Practice Telephone | 8667374031 |
| Mailing Telephone | 8036693461 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |
| Authorized Official Name | WILLIAM BART MILES (CFO) |
| Authorized Official Telephone | 8433356762 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780742825 | Sandhills Medical Foundation Inc | Family Medicine | 425 N Salem Ave, Sumter, SC 29150-4115 | 2006-12-04 |
| 1215180591 | Sandhills Medical Foundation Inc | Pharmacy | 425 N Salem Ave, Sumter, SC 29150-4115 | 2008-10-30 |
| Street Address |
103 MAIN STREET SOUTH |
| City | BETHUNE |
| State | SC |
| Zip Code | 29009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679564702 | Kershaw Hospital LLC | Clinic/Center | 103 South Main Street, Bethune, SC 29009 | 2005-10-28 |
| 1447245089 | Melinda Sue Kelley | Nurse Practitioner | 103 S Main St, Healthcare Place At Bethune, Bethune, SC 29009 | 2005-09-20 |
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1295202356 | Eau Claire Cooperative Health Center Inc. | Clinic/Center | 2600 Wheat St, Columbia, SC 29205-2315 | 2018-10-26 |
| 1215410667 | Low Country Health Care System | Clinic/Center | 19340 Solomon Blatt Ave N, Blackville, SC 29817-2304 | 2018-09-12 |
| 1922584481 | Sandhills Medical Foundation, Inc. | Clinic/Center | 290 Market Street, Ruby, SC 29741 | 2018-07-17 |
| 1518454818 | Fetter Health Care Network, Inc. | Clinic/Center | 130 Varnfield Dr Ste 100, Summerville, SC 29483-7317 | 2018-04-23 |
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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.