CAROLINA RURAL PRACTICE MANAGEMENT, INC. (NPI# 1134252588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134252588 |
| Entity Type | Organization |
| Organization Name | CAROLINA RURAL PRACTICE MANAGEMENT, INC. |
| Other Organization Name | WILLISTON MEDICAL CENTER |
| Practice Address |
2677 Main St Williston SC 29853-0177 |
| Mailing Address |
Po Box 177 2677 Main Street Williston SC 29853-0177 |
| Practice Telephone | 8032665740 |
| Practice Fax Number | 8032665607 |
| Mailing Telephone | 8032665740 |
| Mailing Fax Number | 8032665607 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-07-12 |
| Authorized Official Name | MR. CHARLIE CLIFTON ALSBROOKS (ADMINISTRATOR) |
| Authorized Official Telephone | 8036416277 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
08504 | SC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RHC028 | 05 |
| Other Name | Type Code |
|---|---|
| Williston Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871757385 | Carolina Rural Practice Management, Inc. | Family Medicine | 22 Gardner Rd, Blackville, SC 29817-3126 | 2008-07-14 |
| 1699808006 | Carolina Rural Practice Management, Inc. | Clinic/Center | 22 Gardener Rd, Box 247, Blackville, SC 29817-0247 | 2007-03-14 |
| 1811020183 | Carolina Rural Practice Management, Inc. | Clinic/Center | 120 Louie Street, Wagener, SC 29164-0098 | 2007-03-14 |
| Street Address |
2677 MAIN ST |
| City | WILLISTON |
| State | SC |
| Zip Code | 29853-0177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669989349 | Brittany Wyndham | Pharmacist | 12935 Main Street, Williston, SC 29853 | 2018-01-04 |
| 1467837633 | Billie Williams | Licensed Practical Nurse | 415 Memorial Ave., Allendale, SC 29853 | 2015-07-29 |
| 1003273145 | Angela Sharpe | Pharmacist | 2 E Main St, Williston, SC 29853 | 2016-01-20 |
| 1619211521 | Angela Nicole Marzolf | Occupational Therapy Assistant | 5721 Springfield Rd, Williston, SC 29853 | 2012-11-15 |
| 1669524260 | John Wade Riley | Dentist | 10 Roundtree St., Williston, SC 29853-0659 | 2007-01-17 |
| 1750379442 | Williston Healthcare and Rehab, LLC | Skilled Nursing Facility | 5721 Springfield Rd, Williston, SC 29853-1917 | 2005-10-07 |
| 1497096259 | Alice Pyle Metts | Physical Therapist | 5721 Springfield Rd, Williston, SC 29853-1917 | 2013-03-04 |
| 1700120128 | Elise Faulkner | Physical Therapist | 5721 Springfield Rd, Williston, SC 29853-1917 | 2012-11-26 |
| 1215271812 | Cheryl Lee Gentry | Physical Therapy Assistant | 5721 Springfield Rd, Williston, SC 29853-1917 | 2012-11-20 |
| 1598009409 | Janice Dukes Wright | Speech-Language Pathologist | 5721 Springfield Rd, Williston, SC 29853-1917 | 2012-11-15 |
| Find all providers in zip 29853 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497985162 | Barnwell County Hospital | Clinic/Center | 45 Roundtree St, Williston, SC 29853-2303 | 2009-07-16 |
| 1720487200 | Sc Healthcare Investments LLC | Clinic/Center | 45 Roundtree St, Williston, SC 29853-2303 | 2014-08-20 |
| 1952712713 | Cns Holding Company LLC | Clinic/Center | 300 Nw 1st Ave, Williston, FL 32696-2006 | 2014-05-15 |
| 1962748400 | Regional Health Partners LLC | Clinic/Center | 125 Sw 7th St, Williston, FL 32696-2403 | 2013-01-02 |
| 1538435375 | Williston Rural Health and Wellness Clinic LLC | Clinic/Center | 300 Nw 1st Ave, Williston, FL 32696-2006 | 2012-03-27 |
| 1629247259 | Cypress Health Systems Florida Inc. | Clinic/Center | 125 Sw 7th St, Williston, FL 32696-2403 | 2008-02-28 |
| 1326137001 | Williston Pediatrics, Inc | Clinic/Center | 223 N Main St, Williston, FL 32696-2136 | 2006-10-12 |
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| 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 | ||||
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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.