EDISTO REGIONAL HEALTH SERVICES INC. (NPI# 1396976700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396976700 |
| Entity Type | Organization |
| Organization Name | EDISTO REGIONAL HEALTH SERVICES INC. |
| Other Organization Name | RMC PRIMARY CARE ST. MATTHEWS |
| Practice Address |
725 Harry C Raysor Dr St Matthews SC 29135-8403 |
| Mailing Address |
Po Box 1245 Orangeburg SC 29116-1245 |
| Practice Telephone | 8038743902 |
| Practice Fax Number | 8038743905 |
| Mailing Telephone | 8033954497 |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2016-04-13 |
| Authorized Official Name | LIZA M PORTERFIELD (C.F.O.) |
| Authorized Official Telephone | 8033954458 |
| Is Organization Subpart | Y |
| Parent Organization Name | EDISTO REGIONAL HEALTH SERVICES INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
SC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RRMEDICARE | CN8991 | 01 |
| SC | GP5396 | 05 | |
| SC | BLUECHOICE | 015 | 01 |
| SC | RRMEDICARE | CK8831 | 01 |
| SC | BCBS | 017 | 01 |
| SC | TRICARE | 015 | 01 |
| Other Name | Type Code |
|---|---|
| RMC Primary Care St. Matthews | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588943021 | Edisto Regional Health Services Inc. | Clinic/Center | 185 Mcgee St, Bamberg, SC 29003-1154 | 2011-08-16 |
| 1003130956 | Edisto Regional Health Services Inc. | Family Medicine | 498 North Street, Bamberg, SC 29003-1377 | 2010-03-22 |
| 1952350142 | Edisto Regional Health Services Inc. | Family Medicine | 187 Bunch Ford Road, Holly Hill, SC 29059 | 2006-05-08 |
| 1346644119 | Edisto Regional Health Services Inc. | Radiology | 1728 Village Park Dr, Orangeburg, SC 29118-2426 | 2014-10-22 |
| 1548529696 | Edisto Regional Health Services Inc. | Family Medicine | 1750 Village Park Dr, Orangeburg, SC 29118-2457 | 2012-05-10 |
| 1720384514 | Edisto Regional Health Services Inc. | Family Medicine | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2011-01-27 |
| 1639475429 | Edisto Regional Health Services Inc. | Family Medicine | 1619 Carolina Ave, Orangeburg, SC 29115-4939 | 2011-01-27 |
| 1841595667 | Edisto Regional Health Services Inc. | Clinic/Center | 4631 Savannah Highway, North, SC 29112-8180 | 2011-01-26 |
| 1598080079 | Edisto Regional Health Services Inc. | Family Medicine | 5073 Carolina Hwy, Denmark, SC 29042-1679 | 2010-03-29 |
| 1366766222 | Edisto Regional Health Services Inc. | Family Medicine | 498 North St, Bamberg, SC 29003-1377 | 2010-03-22 |
| Street Address |
725 HARRY C RAYSOR DR |
| City | ST MATTHEWS |
| State | SC |
| Zip Code | 29135-8403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790759520 | Terrell L Stone | Family Medicine | 725 Harry C Raysor Dr, St Matthews, SC 29135-8403 | 2006-02-16 |
| 1942430871 | Edisto Regional Health Services | Family Medicine | 725 Harry C Raysor Dr, St Matthews, SC 29135-8403 | 2009-07-27 |
| 1992911127 | Terrell L Stone | Clinic/Center | 725 Harry C Raysor Dr, St Matthews, SC 29135-8403 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598323347 | Ohio Valley Physicians Inc | Family Medicine | 2827 Old Belleville Rd, St Matthews, SC 29135 | 2019-06-05 |
| 1881185999 | St. Matthews K-8 School | Clinic/Center | 132 Saints Avenue, St .matthews, SC 29135 | 2018-05-24 |
| 1700114352 | Jennifer D. Gatch | Doula | 397 Grey Fox Road, St. Matthews, SC 29135 | 2009-11-19 |
| 1457688236 | Saint Matthews Ambulance Service LLC | Ambulance | 39 Tecklenburg Ln, St Matthews, SC 29135 | 2009-11-16 |
| 1477734481 | Calhoun Family Practice | Family Medicine | 104 Guess Lane, St. Matthews, SC 29135 | 2007-11-19 |
| 1043409519 | Mary V Berry | Social Worker | 110 Waterview Rd, St Matthews, SC 29135 | 2007-10-19 |
| 1679796254 | Sarah K Mclauchlin | Physician Assistant | 725 Harry C. Raysor Dr., St. Matthews, SC 29135 | 2007-04-11 |
| 1295879229 | Karen Jean Coons | Pharmacist | 715 Harry C Raysor Dr, St Matthews, SC 29135 | 2007-02-15 |
| 1871656348 | Carolyn Rebecca Thompson | Dentist | 811 Harry Raysor Drive, St Matthews, SC 29135 | 2006-12-18 |
| 1316008394 | Blu Bird Inc | Durable Medical Equipment & Medical Supplies | 711 Harry Raysor Dr, Saint Matthews, SC 29135 | 2006-12-13 |
| Find all providers in zip 29135 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992911127 | Terrell L Stone | Clinic/Center | 725 Harry C Raysor Dr, St Matthews, SC 29135-8403 | 2007-05-15 |
| 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 | ||||
| City | ST MATTHEWS |
| Zip Code | 29135 |
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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.