LOW COUNTRY HEALTH CARE SYSTEM (NPI# 1306378310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306378310 |
| Entity Type | Organization |
| Organization Name | LOW COUNTRY HEALTH CARE SYSTEM |
| Other Organization Name | BAMBERG SPECIALTY SERVICES |
| Practice Address |
185 Mcgee St Bamberg SC 29003-1154 |
| Mailing Address |
86 Wren St Barnwell SC 29812-1529 |
| Practice Telephone | 8039566100 |
| Practice Fax Number | 8032454338 |
| Mailing Telephone | 8032595762 |
| Mailing Fax Number | 8032593250 |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2020-08-17 |
| Authorized Official Name | DARAINEY HUDSON (HR DIRECTOR) |
| Authorized Official Telephone | 8036322533 |
| Is Organization Subpart | Y |
| Parent Organization Name | LOW COUNTRY HEALTH CARE SYSTEM, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Bamberg Specialty Services | Doing Business As Name - Organization |
| Low Country Health Care System Early Intervention Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215410667 | Low Country Health Care System | Clinic/Center | 19340 Solomon Blatt Ave N, Blackville, SC 29817-2304 | 2018-09-12 |
| 1386717296 | Low Country Health Care System | Clinic/Center | 1857 Joe Jeffords Highway, Orangeburg, SC 29115 | 2006-11-16 |
| 1578659942 | Low Country Health Care System | Clinic/Center | 86 Wren St., Barnwell, SC 29812 | 2006-10-05 |
| 1962442244 | Low Country Health Care System | Clinic/Center | 10706 Marlboro Avenue, Barnwell, SC 29812-1529 | 2006-06-07 |
| 1821518556 | Low Country Health Care System | Family Medicine | 526 North St, Bamberg, SC 29003-1319 | 2017-06-23 |
| 1780112912 | Low Country Health Care System | Clinic/Center | 124 Wren St, Barnwell, SC 29812-1527 | 2017-06-01 |
| 1063876084 | Low Country Health Care System | Pharmacy | 86 Wren St, Barnwell, SC 29812-1529 | 2016-04-06 |
| 1922468826 | Low Country Health Care System | Clinic/Center | 13975 Church St, Williston, SC 29853-5835 | 2016-03-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LOW COUNTRY HEALTH CARE SYSTEM, INC. | 333 Revolutionary Trail, Fairfax, SC 29827-7109 |
| Street Address |
185 MCGEE ST |
| City | BAMBERG |
| State | SC |
| Zip Code | 29003-1154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588943021 | Edisto Regional Health Services Inc. | Clinic/Center | 185 Mcgee St, Bamberg, SC 29003-1154 | 2011-08-16 |
| 1043656572 | The Regional Medical Center of Orangeburg and Calhoun Counties | Emergency Medicine | 185 Mcgee St, Bamberg, SC 29003-1154 | 2013-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245527530 | James B. Jeffries | Pharmacist | 3518 Main Highway, Bamberg, SC 29003 | 2011-07-07 |
| 1730260118 | State of South Carolina | Public Health or Welfare | 370 Log Branch Road, Bamberg, SC 29003 | 2006-10-18 |
| 1265907224 | Sheryl Edgemon Gardner | Registered Nurse | 370 Log Branch Road, Bamberg, SC 29003 | 2018-10-05 |
| 1336566157 | Paula Boland | Public Health or Welfare | 370 Log Branch Rd, Bamberg, SC 29003 | 2014-03-19 |
| 1427117175 | Shannon T Stokes | Nurse Practitioner | 526 North St, Bamberg, SC 29003 | 2006-12-08 |
| 1679937106 | Tonie Anthony Holman Sr. | Non-emergency Medical Transport (VAN) | 142 Mcmillan St, Bamberg, SC 29003-1039 | 2016-04-11 |
| 1073560645 | Nra Bamberg South Carolina LLC | Clinic/Center | 2046 Main Hwy, Bamberg, SC 29003-1082 | 2006-05-28 |
| 1699796094 | Alton James Beaubeouf Jr. | Chiropractor | 3288 Railroad Ave, Bamberg, SC 29003-1084 | 2006-07-21 |
| 1639131741 | Dva Healthcare Renal Care Inc | Clinic/Center | 67 Sunset Dr, Bamberg, SC 29003-1181 | 2006-04-04 |
| 1235476631 | Janice Marie Wrightenberry | Registered Nurse | 897 North St, Bamberg, SC 29003-1220 | 2013-01-07 |
| Find all providers in zip 29003 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627153 | Hopehealth Inc | Clinic/Center | 2155 Paxville Hwy, Manning, SC 29102-5074 | 2020-10-21 |
| 1083228779 | Sandhills Medical Foundation Inc | Clinic/Center | 103 Main Street South, Bethune, SC 29009 | 2020-09-01 |
| 1235753914 | Eau Claire Cooperative Health Center Inc. | Clinic/Center | 4605 Monticello Rd Bldg C, Columbia, SC 29203-4156 | 2020-05-29 |
| 1982248852 | Regenesis Organization Community Health Center | Clinic/Center | 115 Thomas St Ste B, Union, SC 29379-2147 | 2019-11-04 |
| 1720636012 | Genesis Health Care, Inc | Clinic/Center | 115 Exchange St, Darlington, SC 29532-3203 | 2019-08-29 |
| 1063079549 | Health Care Partners of South Carolina, Inc. | Clinic/Center | 243 Singleton Ridge Rd, Units E&f, Conway, SC 29526-8391 | 2019-05-21 |
| 1043775703 | Rural Health Services Inc | Clinic/Center | 4200 Whiskey Rd, Aiken, SC 29803-8534 | 2019-02-07 |
| 1295202356 | Eau Claire Cooperative Health Center Inc. | Clinic/Center | 2600 Wheat St, Columbia, SC 29205-2315 | 2018-10-26 |
| 1215410667 | Low Country Health Care System | Clinic/Center | 19340 Solomon Blatt Ave N, Blackville, SC 29817-2304 | 2018-09-12 |
| 1922584481 | Sandhills Medical Foundation, Inc. | Clinic/Center | 290 Market Street, Ruby, SC 29741 | 2018-07-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LOW COUNTRY HEALTH CARE SYSTEM.
| 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.