LIVE OAK MEDICAL CENTER, PA (NPI# 1285869222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285869222 |
| Entity Type | Organization |
| Organization Name | LIVE OAK MEDICAL CENTER, PA |
| Practice Address |
342 W Main St Kingstree SC 29556-3235 |
| Practice Telephone | 8436870435 |
| Mailing Telephone | 8436870435 |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2009-06-04 |
| Authorized Official Name | ALBERT DURANT MIMS (DIRECTOR) |
| Authorized Official Telephone | 8436870435 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | LIVE OAK MEDICAL CENTER, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
9352 | SC | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659506699 | Live Oak Medical Center, Pa | Family Medicine | 148 Sauls St., Lake City, SC 29560 | 2009-05-20 |
| 1144455197 | Live Oak Medical Center, Pa | Family Medicine | 148 Sauls St., Lake City, SC 29560 | 2009-05-20 |
| 1235364282 | Live Oak Medical Center, Pa | Family Medicine | 342 W Main St, Kingstree, SC 29556-3235 | 2009-05-20 |
| Street Address |
342 W MAIN ST |
| City | KINGSTREE |
| State | SC |
| Zip Code | 29556-3235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295132355 | Carolinas Medical Alliance Inc | Internal Medicine | 342 W Main St, Kingstree, SC 29556-3235 | 2014-12-04 |
| 1518266436 | Palmetto Primary Care Physicians | Family Medicine | 342 W Main St, Kingstree, SC 29556-3235 | 2011-03-17 |
| 1235364282 | Live Oak Medical Center, Pa | Family Medicine | 342 W Main St, Kingstree, SC 29556-3235 | 2009-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689198996 | April Wilson | Home Health Aide | 706 Sandy Bay Rd, Kingstree, SC 29556 | 2017-07-28 |
| 1588000657 | Jennifer Moore Lamb | Registered Nurse | 500 North Academy St, Building K, Kingstree, SC 29556 | 2013-05-16 |
| 1619227014 | Hallie Mcnair Dubose | Pharmacist | 120 North Longstreet St, Kingstree, SC 29556 | 2012-09-12 |
| 1699969733 | Black River Healthcare, Inc. | Obstetrics & Gynecology | 500 Thurgood Marshall Boulevard, Suite A, Kingstree, SC 29556 | 2007-08-31 |
| 1457578486 | Dawkins Medical Transport | Ambulance | 89 Drylog Avenue, Kingstree, SC 29556 | 2007-04-19 |
| 1306971502 | Vital Aging of Williamsburg County, Inc. | Home Delivered Meals | 501 North Longstreet Street, Kingstree, SC 29556 | 2007-02-21 |
| 1356489579 | Harry Wells Floyd | General Practice | 500 Thurgood Marshall Blvd, Suite F, Kingstree, SC 29556 | 2007-02-01 |
| 1306995782 | Joann Conyers Lockhart | Health Educator | 500 Academy Street, Kingstree, SC 29556 | 2007-01-09 |
| 1497825723 | The Youth Academy Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 237 Lela Harrison Road, Kingstree, SC 29556 | 2006-11-08 |
| 1427151109 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 120 N Longst St, Kingstree, SC 29556 | 2006-09-07 |
| Find all providers in zip 29556 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497798599 | Black River Healthcare, Inc. | Clinic/Center | 520 Thurgood Marshall Blvd., Suite B, Kingstree, SC 29556 | 2006-06-14 |
| 1831445998 | Lake City Family Medicine, LLC | Clinic/Center | 505 Thurgood Marshall Hwy, Kingstree, SC 29556-4107 | 2012-07-26 |
| 1033413323 | Williamsburg Regional Hospital | Clinic/Center | 500 Thurgood Marshall Hwy, Suite F, Kingstree, SC 29556 | 2011-01-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508482050 | The Palmetto Clinics, LLC | Clinic/Center | 463 Calhoun Ave Ste A-2, Greenwood, SC 29649-2063 | 2020-06-21 |
| 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 |
| 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.