PRN HEALTHCARE STAFFING, LC (NPI# 1184195158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184195158 |
| Entity Type | Organization |
| Organization Name | PRN HEALTHCARE STAFFING, LC |
| Practice Address |
108 Hatteras Dr Conway SC 29526-8535 |
| Mailing Address |
1227 16th Ave Ste 157 Conway SC 29526-3483 |
| Practice Telephone | 8433534651 |
| Mailing Telephone | 8433534651 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |
| Authorized Official Name | MRS. LATONYA D SANDERS-MILLER (PHLEBOTOMIST) |
| Authorized Official Telephone | 8439578782 |
| Authorized Official Credential | RPT, CMA, NOTARY |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
| N | 302F00000X | Exclusive Provider Organization | Managed Care Organizations | ||
| N | 305S00000X | Point of Service | Managed Care Organizations | ||
| N | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers | ||
| N | 347C00000X | Private Vehicle | Transportation Services | ||
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Street Address |
108 HATTERAS DR |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-8535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982170072 | Latonya Sanders | Contractor | 108 Hatteras Dr, Conway, SC 29526-8535 | 2018-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
| 1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
| 1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
| 1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
| Find all providers in zip 29526 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942702659 | Medical Outreach Clinic of Summerville Inc | Clinic/Center | 316 W Carolina Ave, Summerville, SC 29483-4359 | 2018-03-08 |
| 1407213895 | Altruism Home Care | Clinic/Center | 2675 Maidenhair Ln, Sumter, SC 29153-9521 | 2016-01-15 |
| 1316291172 | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | Clinic/Center | 200 Elm St E, Hampton, SC 29924-3430 | 2012-11-01 |
| 1598019341 | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | Clinic/Center | 776 2nd St E, Estill, SC 29918-4926 | 2012-11-01 |
| 1629322466 | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | Clinic/Center | 1520 Grays Hwy, Ridgeland, SC 29936-5440 | 2012-11-01 |
| 1720332794 | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | Clinic/Center | 552 Stiney Road, Hardeeville, SC 29927-0369 | 2012-10-30 |
| 1427302470 | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | Clinic/Center | 6315 Jonathan Francis Sr. Rd., St. Helena Island, SC 29920-5401 | 2012-10-30 |
| 1801178918 | Community Medicine Foundation | Clinic/Center | 313 Fargo St, Rock Hill, SC 29732-2870 | 2011-09-14 |
| 1013299148 | Community Medicine Foundation | Clinic/Center | 382 Workman St, Rock Hill, SC 29730-6354 | 2011-09-14 |
| 1669676201 | Family Health Centers, Inc. | Clinic/Center | 7061 Norway Rd, Neeses, SC 29107-9021 | 2007-06-14 |
| 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.