FAIRFIELD MEMORIAL HOSPITAL (NPI# 1154463115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154463115 |
Entity Type | Organization |
Organization Name | FAIRFIELD MEMORIAL HOSPITAL |
Practice Address |
102 Us Hwy 321 By Pass N Winnsboro SC 29180 |
Practice Telephone | 8037120373 |
Practice Fax Number | 8036351760 |
Mailing Telephone | 8037120373 |
Mailing Fax Number | 8036351760 |
Enumeration Date | 2007-02-13 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. J L DOZIER (CEO) |
Authorized Official Telephone | 8037120373 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 50001704 | SC | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | NABP | 4212419 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992018691 | Fairfield Memorial Hospital | Clinic/Center | 880 West Moultrie Street, Suite 3, Winnsboro, SC 29180-2411 | 2010-07-22 |
1487702973 | Fairfield Memorial Hospital | Medicare Defined Swing Bed Unit | 102 Us Hwy 321 Bypass N, Winnsboro, SC 29180 | 2007-01-08 |
1386604726 | Fairfield Memorial Hospital | General Acute Care Hospital | 102 Us Highway 321 Byp N, Winnsboro, SC 29180-9251 | 2006-03-27 |
1558418111 | Fairfield Memorial Hospital | Pharmacy | 303 Nw 11th St, Fairfield, IL 62837-1203 | 2007-01-05 |
1750438362 | Fairfield Memorial Hospital | Pharmacy | 303 Nw 11th St, Fairfield, IL 62837-1203 | 2007-01-04 |
1821186479 | Fairfield Memorial Hospital | Nursing Facility/Intermediate Care Facility | 303 Nw 11th St, Fairfield, IL 62837-1203 | 2006-10-10 |
1770594277 | Fairfield Memorial Hospital | Pharmacy | 303 Nw 11th St, Fairfield, IL 62837-1203 | 2006-08-10 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | FAIRFIELD MEMORIAL HOSPITAL | 102 Us Highway 321 Byp N, Winnsboro, SC 29180-9251 |
System for Award Management (SAM) Entities | FAIRFIELD MEMORIAL HOSPITAL ASSOCIATION | 303 Northwest 11th St, Fairfield, IL 62837-1203 |
Street Address |
102 US HWY 321 BY PASS N |
City | WINNSBORO |
State | SC |
Zip Code | 29180 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023651957 | Sean Anthony Maxwell | Peer Specialist | 178 Highway 321 Bypass N., Winnsboro, SC 29180 | 2019-10-23 |
1467019778 | Fairfield County Disabilities and Special Needs Board | Early Intervention Provider Agency | 408 W Washington Street, Winnsboro, SC 29180 | 2019-05-22 |
1922577204 | Kimberly Speaks Steele | Counselor | 178 Us Highway 321 Bypass N, Winnsboro, SC 29180 | 2018-11-16 |
1407376957 | Tiffany L Boyd | Home Health | 409a Crawford St, Winnsboro, SC 29180 | 2017-06-26 |
1588902738 | Margarite H. Mccain | Counselor | 200 Calhoun Street, Winnsboro, SC 29180 | 2013-01-23 |
1710237268 | Elizabeth Caulder | Pharmacist | 27 Us Hwy 321 Bypass South, Winnsboro, SC 29180 | 2012-09-12 |
1801041124 | Jerelyn S Russell | Counselor | 1077 Kincaid Bridge Rd., Winnsboro, SC 29180 | 2008-12-01 |
1164683199 | Kimberly G Kinard | Psychiatry & Neurology | 1073 Us Highway 321 Bypass, Winnsboro Mental Health Center, Winnsboro, SC 29180 | 2008-06-23 |
1467658732 | Winnsboro Chiropractic | Chiropractor | 143 Hwy. 321 Bypass, Winnsboro, SC 29180 | 2007-06-25 |
1710181060 | Kudchadkar Clinic | Pediatrics | 880 West Moultrie St, Suite 100, Winnsboro, SC 29180 | 2007-06-12 |
Find all providers in zip 29180 |
Taxonomy Code | 332800000X |
Grouping | Suppliers |
Classification | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. |
Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467581819 | Catawba Indian Hlth Ctr Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 2893 Sturgis Rd, Rock Hill, SC 29730-6607 | 2007-03-03 |
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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.