SANDHILLS MEDICAL FOUNDATION, INC. (NPI# 1386902542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386902542 |
Entity Type | Organization |
Organization Name | SANDHILLS MEDICAL FOUNDATION, INC. |
Practice Address |
205 W Marion St Kershaw SC 29067-1412 |
Mailing Address |
Po Box 366 Mc Bee SC 29101-0366 |
Practice Telephone | 8034754701 |
Practice Fax Number | 8034754712 |
Mailing Telephone | 8433358291 |
Mailing Fax Number | 8433358731 |
Enumeration Date | 2012-04-25 |
Last Update Date | 2013-05-17 |
Authorized Official Name | MR. CHRISTOPHER DIXON (CFO) |
Authorized Official Telephone | 8433356754 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | PTAN | 1881 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922584481 | Sandhills Medical Foundation, Inc. | Clinic/Center | 290 Market Street, Ruby, SC 29741 | 2018-07-17 |
1487712923 | Sandhills Medical Foundation, Inc. | Family Medicine | 40 Baldwin Ave., Lugoff, SC 29078-8966 | 2006-12-05 |
1912065467 | Sandhills Medical Foundation, Inc. | Family Medicine | 409 E Church St, Jefferson, SC 29718-8701 | 2006-12-05 |
1568541597 | Sandhills Medical Foundation, Inc. | Family Medicine | 645 S. 7th Street, Mcbee, SC 29101 | 2006-11-02 |
1881158053 | Sandhills Medical Foundation, Inc. | Pharmacy | 205 W Marion St, Kershaw, SC 29067-1412 | 2019-01-22 |
1720372949 | Sandhills Medical Foundation, Inc. | Clinic/Center | 2611 Liberty Hill Rd, Camden, SC 29020-1871 | 2011-06-06 |
1881925501 | Sandhills Medical Foundation, Inc. | Pharmacy | 409 E Church St, Jefferson, SC 29718-8701 | 2010-01-20 |
Street Address |
205 W MARION ST |
City | KERSHAW |
State | SC |
Zip Code | 29067-1412 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881158053 | Sandhills Medical Foundation, Inc. | Pharmacy | 205 W Marion St, Kershaw, SC 29067-1412 | 2019-01-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114568904 | Melissa Hopkins | Technician | 696 A Oakridge Church Rd, Kershay, SC 29067 | 2019-10-02 |
1295231496 | Rebekah Bowers Clements | Speech-Language Pathologist | 4452 Providence Rd., Kershaw, SC 29067 | 2018-04-05 |
1336403807 | Care-net of Lancaster | Family Medicine | 212 East Marion Street, Kershaw, SC 29067 | 2012-06-29 |
1851447932 | James Jefferson Mcdowell Jr. | Optometrist | 112 East Hilton St, Kershaw, SC 29067 | 2007-01-25 |
1780733055 | Eric J. Smith | Dentist | 114 East Hilton Street, Kershaw, SC 29067 | 2007-01-09 |
1417065624 | Robert Sowell Hegler Sr. | Dentist | 104 S Ashe St, Kershaw, SC 29067 | 2006-08-28 |
1750595690 | Drs Kelley & Mcdowell Pa | Optometrist | 112 East Hilton St, Kershaw, SC 29067 | 2007-05-10 |
1417190885 | Danny Reese Blackwell | Specialist | 116 N Matson St, Kershaw, SC 29067-1216 | 2009-04-14 |
1689000168 | C.l. Thaxton Insurance Group, Inc. | Supports Brokerage | 239 N Hampton St, Kershaw, SC 29067-1313 | 2013-09-17 |
1801087739 | Kershaw Counseling, LLC | Community/Behavioral Health | 206 N Hampton St, Kershaw, SC 29067-1314 | 2007-08-06 |
Find all providers in zip 29067 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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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 |
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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.