FAIRFIELD MEDICAL ASSOCIATES, PA (NPI# 1184737892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184737892 |
Entity Type | Organization |
Organization Name | FAIRFIELD MEDICAL ASSOCIATES, PA |
Practice Address |
880 West Moultrie St. Suite 200 Winnsboro SC 29180-1280 |
Mailing Address |
P.o. Box 1218 Winnsboro SC 29180-1280 |
Practice Telephone | 8036356487 |
Practice Fax Number | 8036356089 |
Mailing Telephone | 8036356487 |
Mailing Fax Number | 8036356089 |
Enumeration Date | 2006-08-16 |
Last Update Date | 2008-10-09 |
Authorized Official Name | MRS. ELIZABETH A MANN (OFFICE MANAGER) |
Authorized Official Telephone | 8036356488 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | SC | Allopathic & Osteopathic Physicians | |
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
SC | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | BLUE CROSS BLUE SHIELD | 423840 | 01 |
SC | RHC002 | 05 | |
SC | PA3996 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912537119 | Fairfield Medical Associates, Pa | Clinic/Center | 428 Mcnulty St Ste 3, Blythewood, SC 29016-8786 | 2020-01-16 |
1740579168 | Fairfield Medical Associates, Pa | Family Medicine | 511 W Moultrie St, Winnsboro, SC 29180-1436 | 2011-04-06 |
Street Address |
880 WEST MOULTRIE ST. SUITE 200 |
City | WINNSBORO |
State | SC |
Zip Code | 29180-1280 |
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 | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497068951 | Franklin Parish Hospital Service District No1 | Clinic/Center | 5745 Highway 17, Winnsboro, LA 71295 | 2010-07-26 |
1992018691 | Fairfield Memorial Hospital | Clinic/Center | 880 West Moultrie Street, Suite 3, Winnsboro, SC 29180-2411 | 2010-07-22 |
1306907613 | The Community Health Foundation of Fairfield County | Clinic/Center | 56 Us Hwy 321 Bypass N, Winnsboro, SC 29180 | 2006-12-12 |
1902851124 | Franklin Parish Hospital Service District No1 | Clinic/Center | 2104 Loop Rd Ste C, Winnsboro, LA 71295-3341 | 2006-05-24 |
1598091555 | Mother Frances Hospital-winnsboro | Clinic/Center | 719 W Coke Rd, #4, Winnsboro, TX 75494-3011 | 2009-10-27 |
1922294867 | Mother Frances Hospital Winnsboro | Clinic/Center | 719 W Coke Rd Ste 4, Winnsboro, TX 75494-3060 | 2007-09-24 |
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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 |
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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.