CAROLINAS MEDICAL ALLIANCE, INC (NPI# 1215157334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215157334 |
| Entity Type | Organization |
| Organization Name | CAROLINAS MEDICAL ALLIANCE, INC |
| Other Organization Name | LAKE CITY MEDICAL CLINIC |
| Practice Address |
101 John St Lake City SC 29560-2411 |
| Practice Telephone | 8433942031 |
| Practice Fax Number | 8433947411 |
| Mailing Telephone | 8433942031 |
| Mailing Fax Number | 8433947411 |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2014-01-02 |
| Authorized Official Name | SOPHIA L ARWOOD (DIRECTOR) |
| Authorized Official Telephone | 6156286038 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RHC107 | 05 |
| Other Name | Type Code |
|---|---|
| Lake City Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023238490 | Carolinas Medical Alliance, Inc | Clinic/Center | 953 S. Pamplico Hwy., Pamplico, SC 29583-4058 | 2007-04-27 |
| 1972723096 | Carolinas Medical Alliance, Inc | Clinic/Center | 105 N Railroad Ave, Lamar, SC 29069-9727 | 2007-04-30 |
| Street Address |
101 JOHN ST |
| City | LAKE CITY |
| State | SC |
| Zip Code | 29560-2411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952399222 | David C. Rodriguez | Family Medicine | 101 John St, Lake City, SC 29560-2411 | 2005-10-11 |
| 1407108954 | Vonny Clanton | Nurse Practitioner | 101 John St, Lake City, SC 29560-2411 | 2012-10-09 |
| 1134186455 | Carolinas Medical Alliance Inc | General Practice | 101 John St, Lake City, SC 29560-2411 | 2006-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457830366 | Patty Fulmore | In Home Supportive Care | 141 Bulldog Lane, Lake City, SC 29560 | 2018-08-10 |
| 1558875211 | Msk Transportation | Non-emergency Medical Transport (VAN) | 226 Lake Dale Ave, Lake City, SC 29560 | 2017-11-16 |
| 1861867566 | Denita Alison Pleasant | Pharmacist | 301 West Thomas Street, Lake City, SC 29560 | 2015-12-07 |
| 1821474115 | Pro-motion Physical Therapy of Florence, Sc, LLC | Occupational Therapist | 148 B Sauls Street, Lake City, SC 29560 | 2015-08-10 |
| 1023412335 | Motivations-unlimited | Speech-Language Pathologist | 318 A Moore Street, Lake City, SC 29560 | 2014-10-15 |
| 1700297652 | Sharon Lewis | Pharmacist | 900 Us Highway 52, Lake City, SC 29560 | 2014-05-14 |
| 1376954305 | Sergio Montes | Pharmacist | 900 Us Hwy 52, Lake City, SC 29560 | 2014-05-13 |
| 1992122857 | Paula Moses | Pharmacist | 900 U.s Hwy. 52, Lake City, SC 29560 | 2014-03-27 |
| 1063762763 | Dawn Mcelveen Floyd | Pharmacist | 301 W Thomas Street, Lake City, SC 29560 | 2012-09-11 |
| 1548519507 | Robert Bruce Page | Pharmacist | 401 West Thomas St, Lake City, SC 29560 | 2012-09-06 |
| Find all providers in zip 29560 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396969002 | Lake City Family Medicine LLC | Clinic/Center | 901 N. Matthews Rd., Lake City, SC 29560 | 2007-04-12 |
| 1316953649 | Lower Florence County Hosptial | Clinic/Center | 334 Mercy St, Lake City, SC 29560-2332 | 2006-07-31 |
| 1497754154 | Andres R Villar Md | Clinic/Center | 789 W Duval St, Lake City, FL 32055-3811 | 2005-07-15 |
| 1457950222 | Medical University Hospital Authority | Clinic/Center | 148 Sauls St Ste E, Lake City, SC 29560-2677 | 2020-10-22 |
| 1114246584 | East Main Medical Services, LLC | Clinic/Center | 238 E Main St, Lake City, SC 29560-2114 | 2010-05-25 |
| 1477785095 | Enrique Technologies Inc | Clinic/Center | 777 W Duval St, Lake City, FL 32055-5806 | 2009-08-14 |
| 1144467960 | Lake City Family Medicine LLC | Clinic/Center | 901 N Matthews Rd, Lake City, SC 29560-7024 | 2009-01-15 |
| 1477631752 | Hc Healthcare Inc | Clinic/Center | 777 W Duval St, Lake City, FL 32055-5806 | 2006-11-02 |
| 1902903222 | Lower Florence County Hospital | Clinic/Center | 334 Mercy St, Lake City, SC 29560-2332 | 2006-09-20 |
| 1437256757 | Lower Florence County Hospital | Clinic/Center | 276 N Ron Mcnair Blvd, Lake City, SC 29560-2462 | 2006-09-20 |
| Find all providers in LAKE CITY | ||||
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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.