SANTEE FAMILY MEDICAL CTR (NPI# 1285890186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285890186 |
Entity Type | Organization |
Organization Name | SANTEE FAMILY MEDICAL CTR |
Practice Address |
309 Santee River Plz Santee SC 29142 |
Practice Telephone | 8038543940 |
Practice Fax Number | 8038543945 |
Mailing Telephone | 8038543940 |
Mailing Fax Number | 8038543945 |
Enumeration Date | 2008-07-31 |
Last Update Date | 2008-07-31 |
Authorized Official Name | DR. GOSSIE C HEATH (OWNER) |
Authorized Official Telephone | 8038543940 |
Authorized Official Credential | M.D |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261Q00000X | Clinic/Center | 13454 | SC | Ambulatory Health Care Facilities |
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
13454 | SC | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | GP0261 | 05 |
Street Address |
309 SANTEE RIVER PLZ |
City | SANTEE |
State | SC |
Zip Code | 29142 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629312111 | Cvs Pharmacy | Pharmacist | 240 Planters Trace Rd, Santee, SC 29142 | 2012-11-21 |
1184861411 | Palmetto Eye Associates | Optometrist | 150 Plaza Circle, Santee, SC 29142 | 2009-01-08 |
1205004520 | Santee Dental Care | Dentist | 190 B Plaza Circle, Santee, SC 29142 | 2008-02-20 |
1407032295 | Carolina Cataract Clinic | Ophthalmology | 8799 Old Highway # 6, Santee, SC 29142 | 2008-01-11 |
1891854949 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8910 Old Highway 6, Santee, SC 29142 | 2006-12-06 |
1114935475 | Medical Center of Santee LLC | Clinic/Center | 500 Bass Drive, Santee, SC 29142 | 2006-08-03 |
1821600917 | Melissa Kathryn Cherry | Pharmacist | 8910 Old Highway 6, Santee, SC 29142 | 2020-08-19 |
1407040728 | Delores Gregory Hollen | Counselor | 8799 Old Highway #6, Santee, SC 29142 | 2007-08-29 |
1467869776 | Vanester Ravenell | Social Worker | 1580 Bass Dr, Santee, SC 29142-0000 | 2014-07-18 |
1104228311 | Management Services of Santee | Exclusive Provider Organization | 1580 Bass Dr, Santee, SC 29142-0000 | 2014-09-18 |
Find all providers in zip 29142 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982802179 | Naval Medical Center San Diego | Clinic/Center | 120 Town Center Pkwy, Santee, CA 92071-5801 | 2007-07-10 |
1114935475 | Medical Center of Santee LLC | Clinic/Center | 500 Bass Drive, Santee, SC 29142 | 2006-08-03 |
1396058137 | Somagen Healthcare Inc | Clinic/Center | 10538 Mission Gorge Rd, Suite 100, Santee, CA 92071-3154 | 2010-07-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700484821 | Grace Physicians Services | Clinic/Center | 1483 Old Cherokee Road, Lexington, SC 29072 | 2020-10-12 |
1750995007 | Trinity Health and Wellness | Clinic/Center | 1483 Old Cherokee Rd, Lexington, SC 29072 | 2020-09-03 |
1841847423 | Healthworks Med Group of South Carolina P C | Clinic/Center | 9051 Palmetto Commerce Pkwy, Ladson, SC 29456-6705 | 2019-08-20 |
1528561453 | Sea Island Medical Care | Clinic/Center | 2114 Highway 41, Suite 105, Mount Pleasant, SC 29466 | 2018-03-16 |
1447758032 | Crs Eyecare Services, Inc. | Clinic/Center | 112 Rutledge Ave Ste A, Charleston, SC 29401-1333 | 2018-01-29 |
1316477060 | Lake City Medical Associates 2017, LLC | Clinic/Center | 130 S Acline St, Lake City, SC 29560-2633 | 2017-06-15 |
1417483355 | New Beginnings Health Services | Clinic/Center | 176 Dermis Ave, Hardeeville, SC 29927-4161 | 2017-05-11 |
1669919007 | Hypertension and Diabetes Prevention and Treatment Center Inc | Clinic/Center | 1812 Malden Drive, Hdpt Center Inc, Florence, SC 29505-3128 | 2017-01-24 |
1093262511 | Quad/med, LLC | Clinic/Center | 224a Harbor Freight Rd, Dillon, SC 29536-8501 | 2016-09-01 |
1649623653 | Woods Bay Family Care LLC | Clinic/Center | 128 E Baker St, Olanta, SC 29114-9101 | 2016-07-14 |
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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.