CARESOUTH CAROLINA, INC (NPI# 1194763714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194763714 |
| Entity Type | Organization |
| Organization Name | CARESOUTH CAROLINA, INC |
| Practice Address |
737 S Main St Society Hill SC 29593-8972 |
| Mailing Address |
Po Box 1090 Hartsville SC 29551-1090 |
| Practice Telephone | 8433784501 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2007-09-04 |
| Authorized Official Name | ANN LEWIS (CEO) |
| Authorized Official Telephone | 8438570111 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | CBP013 | 05 | |
| SC | FQC003 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831620095 | Caresouth Carolina, Inc | Dentist | 741 S Main Street, Society Hill, SC 29593 | 2017-03-21 |
| 1457398521 | Caresouth Carolina, Inc | Clinic/Center | 999 Cheraw St, Bennettsville, SC 29512-2420 | 2006-05-31 |
| 1255762936 | Caresouth Carolina, Inc | Clinic/Center | 207 E Monroe St, Dillon, SC 29536-2557 | 2013-12-06 |
| 1285677443 | Caresouth Carolina, Inc | Clinic/Center | 715 S Doctors Dr, Suites A, B & D/e, Cheraw, SC 29520-7113 | 2006-06-14 |
| 1942247846 | Caresouth Carolina, Inc | Clinic/Center | 545 Sumter Hwy, Bishopville, SC 29010-7601 | 2006-05-31 |
| 1629015755 | Caresouth Carolina, Inc | Clinic/Center | 500 West Blvd, Chesterfield, SC 29709-1402 | 2006-05-31 |
| Street Address |
737 S MAIN ST |
| City | SOCIETY HILL |
| State | SC |
| Zip Code | 29593-8972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295711612 | Sean G Boynes | Dentist | 737 S Main St, Society Hill, SC 29593-8972 | 2005-12-17 |
| 1861976839 | Travis Andre Russell | Dentist | 737 S Main St, Society Hill, SC 29593-8972 | 2018-09-17 |
| 1679067045 | Crystal Rosser | Dentist | 737 S Main St, Society Hill, SC 29593-8972 | 2018-06-19 |
| 1497247241 | Ludie Kathleen Floyd-moore | Social Worker | 737 S Main St, Society Hill, SC 29593-8972 | 2018-06-06 |
| 1568963593 | Brandi Rollins Hair | Dentist | 737 S Main St, Society Hill, SC 29593-8972 | 2018-02-25 |
| 1376994335 | Asya Penzo-shumard | Counselor | 737 S Main St, Society Hill, SC 29593-8972 | 2016-06-30 |
| 1932521218 | Levina Brown | Nurse Practitioner | 737 S Main St, Society Hill, SC 29593-8972 | 2014-01-06 |
| 1760821078 | Lora C, Chavis | Counselor | 737 S Main St, Society Hill, SC 29593-8972 | 2013-06-19 |
| 1730480971 | Bradley D Burgess | Counselor | 737 S Main St, Society Hill, SC 29593-8972 | 2010-11-04 |
| 1275785917 | Rose Laney | Social Worker | 737 S Main St, Society Hill, SC 29593-8972 | 2008-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831620095 | Caresouth Carolina, Inc | Dentist | 741 S Main Street, Society Hill, SC 29593 | 2017-03-21 |
| 1174833511 | Caresouth Carolina Inc | Dentist | 737 S Main Street, Society Hill, SC 29593 | 2010-10-19 |
| 1366456634 | Society Hill Pharmacy | Durable Medical Equipment & Medical Supplies | 743 S Main St, Society Hill, SC 29593 | 2006-07-29 |
| 1285172452 | Society Hill Rescue Squad | Ambulance | 280 S Main St, Society Hill, SC 29593 | 2017-02-07 |
| 1669837936 | Society Hill Rescue Squad | Ambulance | 280 S Main St, Society Hill, SC 29593 | 2015-12-30 |
| 1154742856 | Society Hill Rescue Squad | Ambulance | 280 South Main Street, Society Hill, SC 29593 | 2013-12-23 |
| 1851938260 | Barbara Squire | Technician | 205 Keith Dr, Society Hill, SC 29593-8968 | 2019-12-04 |
| 1487142956 | Caresouth Carolina Inc | Pharmacy | 743 S Main St, Society Hill, SC 29593-8972 | 2018-04-30 |
| 1548300718 | Active Sc Two, Inc. | Clinic/Center | 1118 S Main St, Society Hill, SC 29593-8989 | 2007-02-07 |
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1215410667 | Low Country Health Care System | Clinic/Center | 19340 Solomon Blatt Ave N, Blackville, SC 29817-2304 | 2018-09-12 |
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| Find all providers with the same taxonomy | ||||
| City | SOCIETY HILL |
| Zip Code | 29593 |
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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.