MEDICAL UNIVERSITY HOSPITAL AUTHORITY (NPI# 1457950222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457950222 |
| Entity Type | Organization |
| Organization Name | MEDICAL UNIVERSITY HOSPITAL AUTHORITY |
| Practice Address |
148 Sauls St Ste E Lake City SC 29560-2677 |
| Mailing Address |
Po Box 603898 Charlotte NC 28260-3898 |
| Practice Telephone | 8436699183 |
| Mailing Telephone | 8437926200 |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | KARYN RAE (CHIEF) |
| Authorized Official Telephone | 8438761344 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| MUSC Health Express Care Lake City | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911075 | Medical University Hospital Authority | Pediatrics | 838 W Meeting St Ste E, Lancaster, SC 29720-6261 | 2020-08-04 |
| 1134738644 | Medical University Hospital Authority | Pediatrics | 1 Medical Park Dr Ste A, Chester, SC 29706-9769 | 2020-07-30 |
| 1134746555 | Medical University Hospital Authority | Internal Medicine | 1205 North Main Street, Mullins, SC 29474 | 2020-07-01 |
| 1639737349 | Medical University Hospital Authority | Pharmacy | 10 Mcclennan Banks Drive, Charleston, SC 29425-0001 | 2019-05-29 |
| 1265999197 | Medical University Hospital Authority | Clinic/Center | 1580 Freedom Blvd Ste 300, Florence, SC 29505-6074 | 2019-02-27 |
| 1083171185 | Medical University Hospital Authority | Pharmacy | 2250 Mall Drive, North Charleston, SC 29406 | 2019-02-25 |
| 1164987624 | Medical University Hospital Authority | Pediatrics | 2845 E Highway 76 Ste 4, Mullins, SC 29574-6037 | 2019-02-08 |
| 1225593924 | Medical University Hospital Authority | Pediatrics | 2845 E Highway 76 Ste 5, Mullins, SC 29574-6037 | 2019-02-06 |
| 1497039390 | Medical University Hospital Authority | Pharmacy | 230 Albemarle Rd, Wh 126, Charleston, SC 29407-7522 | 2011-10-11 |
| 1659511061 | Medical University Hospital Authority | Pharmacy | 86 Jonathan Lucas St Rm 114, Charleston, SC 29425-8900 | 2009-02-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEDICAL UNIVERSITY HOSPITAL AUTHORITY | 169 Ashley Ave, Charleston, SC 29425-8905 |
| Street Address |
148 SAULS ST STE E |
| City | LAKE CITY |
| State | SC |
| Zip Code | 29560-2677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720320740 | Jon Kennon Peters | Nurse Practitioner | 148 Sauls St Ste E, Lake City, SC 29560-2677 | 2013-03-18 |
| 1780293290 | Medical University Hospital Authority | Family Medicine | 148 Sauls St Ste E, Lake City, SC 29560-2677 | 2020-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457830366 | Patty Fulmore | In Home Supportive Care | 141 Bulldog Lane, Lake City, SC 29560 | 2018-08-10 |
| 1558875211 | Msk Transportation | Non-emergency Medical Transport (VAN) | 226 Lake Dale Ave, Lake City, SC 29560 | 2017-11-16 |
| 1861867566 | Denita Alison Pleasant | Pharmacist | 301 West Thomas Street, Lake City, SC 29560 | 2015-12-07 |
| 1821474115 | Pro-motion Physical Therapy of Florence, Sc, LLC | Occupational Therapist | 148 B Sauls Street, Lake City, SC 29560 | 2015-08-10 |
| 1023412335 | Motivations-unlimited | Speech-Language Pathologist | 318 A Moore Street, Lake City, SC 29560 | 2014-10-15 |
| 1700297652 | Sharon Lewis | Pharmacist | 900 Us Highway 52, Lake City, SC 29560 | 2014-05-14 |
| 1376954305 | Sergio Montes | Pharmacist | 900 Us Hwy 52, Lake City, SC 29560 | 2014-05-13 |
| 1992122857 | Paula Moses | Pharmacist | 900 U.s Hwy. 52, Lake City, SC 29560 | 2014-03-27 |
| 1063762763 | Dawn Mcelveen Floyd | Pharmacist | 301 W Thomas Street, Lake City, SC 29560 | 2012-09-11 |
| 1548519507 | Robert Bruce Page | Pharmacist | 401 West Thomas St, Lake City, SC 29560 | 2012-09-06 |
| Find all providers in zip 29560 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396969002 | Lake City Family Medicine LLC | Clinic/Center | 901 N. Matthews Rd., Lake City, SC 29560 | 2007-04-12 |
| 1316953649 | Lower Florence County Hosptial | Clinic/Center | 334 Mercy St, Lake City, SC 29560-2332 | 2006-07-31 |
| 1497754154 | Andres R Villar Md | Clinic/Center | 789 W Duval St, Lake City, FL 32055-3811 | 2005-07-15 |
| 1114246584 | East Main Medical Services, LLC | Clinic/Center | 238 E Main St, Lake City, SC 29560-2114 | 2010-05-25 |
| 1477785095 | Enrique Technologies Inc | Clinic/Center | 777 W Duval St, Lake City, FL 32055-5806 | 2009-08-14 |
| 1144467960 | Lake City Family Medicine LLC | Clinic/Center | 901 N Matthews Rd, Lake City, SC 29560-7024 | 2009-01-15 |
| 1215157334 | Carolinas Medical Alliance, Inc | Clinic/Center | 101 John St, Lake City, SC 29560-2411 | 2007-04-30 |
| 1477631752 | Hc Healthcare Inc | Clinic/Center | 777 W Duval St, Lake City, FL 32055-5806 | 2006-11-02 |
| 1902903222 | Lower Florence County Hospital | Clinic/Center | 334 Mercy St, Lake City, SC 29560-2332 | 2006-09-20 |
| 1437256757 | Lower Florence County Hospital | Clinic/Center | 276 N Ron Mcnair Blvd, Lake City, SC 29560-2462 | 2006-09-20 |
| Find all providers in LAKE CITY | ||||
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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.