ALLENDALE COUNTY HOSPITAL BOARD (NPI# 1407906878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407906878 |
| Entity Type | Organization |
| Organization Name | ALLENDALE COUNTY HOSPITAL BOARD |
| Other Organization Name | LAFFITTE & WARREN MEDICAL CENTER |
| Practice Address |
623 Memorial Ave N Allendale SC 29810 |
| Mailing Address |
P.o. Box 218 Fairfax SC 29827 |
| Practice Telephone | 8035842128 |
| Practice Fax Number | 8035842125 |
| Mailing Telephone | 8036321176 |
| Mailing Fax Number | 8036322410 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2014-09-30 |
| Authorized Official Name | MR. MELVIN K HIATT (ADMINISTRATOR) |
| Authorized Official Telephone | 8036323311 |
| Is Organization Subpart | Y |
| Parent Organization Name | ALLENDALE COUNTY HOSPITAL BOARD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
SC | Ambulatory Health Care Facilities | |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RHC539 | 05 |
| Other Name | Type Code |
|---|---|
| Laffitte & Warren Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144370503 | Allendale County Hospital Board | Clinic/Center | 1787 Allendale Fairfax Highway, Fairfax, SC 29827 | 2007-01-10 |
| 1164529491 | Allendale County Hospital Board | Family Medicine | 623 Memorial Ave N, Allendale, SC 29810-2715 | 2006-09-20 |
| 1336246677 | Allendale County Hospital Board | Skilled Nursing Facility | 185 Revolutionary Trail, Fairfax, SC 29827 | 2006-09-20 |
| 1609866912 | Allendale County Hospital Board | General Acute Care Hospital | 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 | 2005-10-27 |
| 1518417351 | Allendale County Hospital Board | Pharmacy | 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 | 2016-10-05 |
| 1730280561 | Allendale County Hospital Board | Family Medicine | 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 | 2006-09-26 |
| 1295834992 | Allendale County Hospital Board | General Acute Care Hospital | 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 | 2006-09-21 |
| Street Address |
623 MEMORIAL AVE N |
| City | ALLENDALE |
| State | SC |
| Zip Code | 29810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164529491 | Allendale County Hospital Board | Family Medicine | 623 Memorial Ave N, Allendale, SC 29810-2715 | 2006-09-20 |
| 1922453059 | Tina Marie Howard | Nurse Practitioner | 623 Memorial Ave N, Allendale, SC 29810-2715 | 2016-04-26 |
| 1215013024 | Thomas Baker Warren | Family Medicine | 623 Memorial Ave N, Allendale, SC 29810-2715 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720498785 | Cory Anthony Russell | Counselor | 438 Barnwell Rd, Allendale, SC 29810 | 2014-04-30 |
| 1457444218 | James Freeman | Counselor | 603 Barnwell Road, Allendale, SC 29810 | 2006-10-02 |
| 1306949656 | Christy Jinks | Counselor | 603 Barnwell Rpad, Allendale, SC 29810 | 2006-09-05 |
| 1083693832 | Allendale County Rescue Squad Inc | Ambulance | 606 Hickory St, Allendale, SC 29810 | 2006-01-11 |
| 1295039717 | Inspiring Growth Counseling Services | Community/Behavioral Health | 279-b Hickory Street, Allendale, SC 29810-1080 | 2010-12-23 |
| 1700980240 | Yokina K. Williams | Counselor | 603 Barnwell Hwy, Allendale, SC 29810-1905 | 2006-09-12 |
| 1851840862 | India Curry | Counselor | 603 Barnwell Hwy, Allendale, SC 29810-1905 | 2016-10-03 |
| 1851572796 | Natashia L Felder | Counselor | 603 Barnwell Hwy, Allendale, SC 29810-1905 | 2007-11-20 |
| 1902951510 | Katherine Elizabeth Tharin | Counselor | 603 Barnwell Hwy, Allendale, SC 29810-1905 | 2007-01-24 |
| 1578623914 | Gregory Nathan Fancher | Psychologist | 603 Barnwell Hwy, Allendale, SC 29810-1905 | 2006-12-08 |
| Find all providers in zip 29810 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962969154 | The Palmetto Palace | Clinic/Center | 217 Flat St E, Allendale, SC 29810-4647 | 2019-02-25 |
| 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 |
| 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 |
| 1154621829 | Marion Physician Services LLC | Clinic/Center | 108a E Main St, Latta, SC 29565-1617 | 2010-10-28 |
| 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.