SANDHILLS MEDICAL FOUNDATION, INC. (NPI# 1487712923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487712923 |
| Entity Type | Organization |
| Organization Name | SANDHILLS MEDICAL FOUNDATION, INC. |
| Practice Address |
40 Baldwin Ave. Lugoff SC 29078-8966 |
| Mailing Address |
Po Box 366 Mcbee SC 29101-7101 |
| Practice Telephone | 8034083262 |
| Practice Fax Number | 8034088895 |
| Mailing Telephone | 8433358291 |
| Mailing Fax Number | 8433358731 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2013-05-17 |
| Authorized Official Name | MR. CHRISTOPHER DIXON (CFO) |
| Authorized Official Telephone | 8433356754 |
| Is Organization Subpart | Y |
| Parent Organization Name | SANDHILLS MEDICAL FOUNDATION, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | SC | Allopathic & Osteopathic Physicians | |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
SC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | FQC050 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922584481 | Sandhills Medical Foundation, Inc. | Clinic/Center | 290 Market Street, Ruby, SC 29741 | 2018-07-17 |
| 1386902542 | Sandhills Medical Foundation, Inc. | Clinic/Center | 205 W Marion St, Kershaw, SC 29067-1412 | 2012-04-25 |
| 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 |
40 BALDWIN AVE. |
| City | LUGOFF |
| State | SC |
| Zip Code | 29078-8966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477006179 | Retireease Senior Services, Inc. | In Home Supportive Care | 12 Dooley Drive, Lugoff, SC 29078 | 2016-07-28 |
| 1770613515 | Claude Harold Varn Jr. | Dentist | P.0.box 325, Lugoff, SC 29078 | 2007-03-07 |
| 1316087364 | Ark Therapeutic Services, Inc | Speech-Language Pathologist | 862a Highway 1 South, Lugoff, SC 29078 | 2007-02-07 |
| 1326104837 | Allyson Varn Monferdini | Dentist | 25 Ward Road, Lugoff, SC 29078 | 2006-12-29 |
| 1275612269 | Wateree Plaza Drug Corp | Durable Medical Equipment & Medical Supplies | 1053 Hwy 1, Patterson Plaza, Lugoff, SC 29078 | 2006-11-02 |
| 1336589233 | Matthew Allen Nettles | Dentist | 25 Ward Road, Lugoff, SC 29078 | 2013-06-25 |
| 1316214638 | Lynnette Glasscho Tomlin | Physician Assistant | 15 Exchange Dr, Lugoff, SC 29078 | 2011-12-01 |
| 1013124429 | Debra C Lowsky | Speech-Language Pathologist | 862a Highway 1 South, Lugoff, SC 29078 | 2007-05-16 |
| 1285826396 | Durham Russell Maples | Chiropractor | 810 Ridgeway Road, Lugoff, SC 29078-0248 | 2007-08-13 |
| 1508059403 | Dina Maples Blankenship | Chiropractor | 810 Ridgeway Road, Lugoff, SC 29078-0248 | 2007-08-23 |
| Find all providers in zip 29078 | ||||
| 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 |
| 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.