BURNT CHURCH PRIMARY AND URGENT CARE, LLC (NPI# 1194829218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194829218 |
| Entity Type | Organization |
| Organization Name | BURNT CHURCH PRIMARY AND URGENT CARE, LLC |
| Other Organization Name | SOUTH CAROLINA HEALTH SERVICES |
| Practice Address |
1 Burnt Church Rd Bluffton SC 29910-6405 |
| Mailing Address |
25 Hospital Center Blvd Attn Administration- Kim Holstein Hilton Head Island SC 29926-2738 |
| Practice Telephone | 8437579229 |
| Mailing Telephone | 8437579229 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2016-06-23 |
| Authorized Official Name | MR. WESLEY O. JAMES (REGIONAL CFO, TENET) |
| Authorized Official Telephone | 4042655009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| South Carolina Health Services | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528198710 | Burnt Church Primary and Urgent Care, LLC | Family Medicine | 1 Burnt Church Rd, Bluffton, SC 29910-6405 | 2007-03-06 |
| Street Address |
1 BURNT CHURCH RD |
| City | BLUFFTON |
| State | SC |
| Zip Code | 29910-6405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528198710 | Burnt Church Primary and Urgent Care, LLC | Family Medicine | 1 Burnt Church Rd, Bluffton, SC 29910-6405 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912444 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 2501 May River Crossing, Bluffton, SC 29910 | 2020-11-03 |
| 1447873815 | Chatham Orthopaedic Associates, Pa | Orthopaedic Surgery | 4812 Bluffton Parkway, Bluffton, SC 29910 | 2020-05-20 |
| 1831682327 | Tattnall Hospital Company LLC | Occupational Therapist | 8201 Pinellas Dr, Bluffton, SC 29910 | 2018-06-11 |
| 1437647070 | Health Performance Systems LLC | Massage Therapist | 20 Towne Dr Ste 102, Bluffton, SC 29910 | 2018-04-30 |
| 1659880540 | Jessica Partain | Assistant Behavior Analyst | 254 Red Cedar St Ste 11, Bluffton, SC 29910 | 2017-09-24 |
| 1760901177 | Thomas Ross Miller | Specialist/Technologist | 7 Independence Place, Bluffton, SC 29910 | 2017-09-18 |
| 1982124400 | Caitlin Diane Harvey | Behavioral Analyst | 4 Oliver Ct Ste 105, Bluffton, SC 29910 | 2017-06-26 |
| 1770011041 | Michael Ross Reeves | Physical Therapist | 38 Sheridan Park Cir Ste C, Bluffton, SC 29910 | 2017-05-31 |
| 1982141750 | Jebediah S. Christy, D.d.s. - Blufton, Pllc | Dentist | 1135 Fording Island Rd, Bluffton, SC 29910 | 2017-01-31 |
| 1225589377 | Kathryn Hope | Occupational Therapist | 31 Innovation Dr Ste 100, Bluffton, SC 29910 | 2016-10-24 |
| Find all providers in zip 29910 | ||||
| Taxonomy Code | 207QA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adolescent Medicine |
| A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528556362 | Hollie Elizabeth Ables | Family Medicine | 2000 E Greenville St Ste 3700, Anderson, SC 29621-1725 | 2018-04-26 |
| 1184075640 | William Kliphpatrick Love | Family Medicine | 853 N Church St Ste 510, Spartanburg, SC 29303-3077 | 2016-06-27 |
| 1821460395 | Ghs Partners In Health, Inc. | Family Medicine | 717 Se Main St, Simpsonville, SC 29681-3237 | 2015-10-23 |
| 1871924167 | Focus Sc 1009, LLC | Family Medicine | 900 Bowman Rd, Suite 303, Mt Pleasant, SC 29464 | 2013-12-11 |
| 1689840514 | James Alan Henderson | Family Medicine | 2750 Laurel St, Suite 103, Columbia, SC 29204-2038 | 2008-04-30 |
| 1285774125 | Clio Medical Center,inc | Family Medicine | 200 Main St, Clio, SC 29525 | 2007-02-08 |
| 1679613525 | Pravin R Patel Md. | Family Medicine | 200 Main St, Clio, SC 29525 | 2007-02-08 |
| 1922022417 | Adolescent Medicine Associates | Family Medicine | 900 Bowman Rd, Suite 304, Mt Pleasant, SC 29464-3203 | 2006-07-27 |
| 1528089240 | Charles Murry Thompson | Family Medicine | 900 Bowman Rd, Suite 304, Mt Pleasant, SC 29464-3203 | 2006-07-21 |
| 1508830217 | Palmetto Primary Care Physicians | Family Medicine | 104 Funk Ave, Saint Stephen, SC 29479-3383 | 2006-02-17 |
| 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.