PALMETTO HEALTH BAPTIST EASLEY (NPI# 1497886329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497886329 |
| Entity Type | Organization |
| Organization Name | PALMETTO HEALTH BAPTIST EASLEY |
| Practice Address |
200 Fleetwood Dr Easley SC 29640-2022 |
| Mailing Address |
Po Box 651466 Charlotte NC 28265-1466 |
| Practice Telephone | 8644427200 |
| Practice Fax Number | 8644427579 |
| Mailing Telephone | 8644427200 |
| Mailing Fax Number | 8644427579 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JAMES LARRY POPE (CFO) |
| Authorized Official Telephone | 8644427610 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
SC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | DPE052 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770790867 | Palmetto Health Baptist Easley | General Acute Care Hospital | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2007-05-17 |
| 1689881773 | Palmetto Health Baptist Easley | General Acute Care Hospital | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2007-05-17 |
| Street Address |
200 FLEETWOOD DR |
| City | EASLEY |
| State | SC |
| Zip Code | 29640-2022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508836974 | Easley M R I L L C | Radiology | 200 Fleetwood Dr, Suite 100, Easley, SC 29640-2022 | 2006-01-26 |
| 1992306914 | Connie Burth | Pharmacist | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2020-11-05 |
| 1609476985 | Pamela Page Polk | Pharmacist | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2020-10-27 |
| 1134728140 | Rhett Powell | Pharmacist | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2020-10-21 |
| 1063044600 | Jacquelyn Nicole Greene | Internal Medicine | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2020-02-11 |
| 1538635057 | Kathryn Lybrand | Dietitian, Registered | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2018-10-23 |
| 1639656713 | Prisma Health-upstate | General Acute Care Hospital | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2018-07-23 |
| 1376053298 | Lynn Kelsey Kline | Dietitian, Registered | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2017-10-05 |
| 1194254318 | Dorothy Warren Shovlin | Nurse Practitioner | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2017-06-10 |
| 1154859031 | Baptist Easley | Family Medicine | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2017-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063935773 | Mary Kathryn Henderson | Speech-Language Pathologist | 1400 Griffin Mill Road, Easley, SC 29640 | 2017-07-25 |
| 1417309451 | Ashby Park Pediatric Dentistry Easley | Dentist | 708 North A Street, Easley, SC 29640 | 2016-07-01 |
| 1548696990 | Phuong T Tran | Pharmacist | 309 Rolling Hills Circle, Easley, SC 29640 | 2013-09-17 |
| 1538593017 | Baptist Easley Hospital | Clinic/Center | 200 Fleet Wood Dr 3 Rd Floor, Easley, SC 29640 | 2013-09-03 |
| 1942507173 | Joanne Mason Wilkinson | Occupational Therapist | 1807a East Main St, Easley, SC 29640 | 2011-02-24 |
| 1861793911 | Ark Pharmacy Services LLC | Pharmacy | 5119- A Calhoun Memorial Hwy, Easley, SC 29640 | 2010-11-05 |
| 1659507952 | Sarah Elizabeth Proulx | Dentist | 227 South Pendleton Street, Suita A, Easley, SC 29640 | 2009-06-02 |
| 1508030503 | Jean Claire Palmour | Massage Therapist | 404 South Fifth Street, Jj & Company Salon & Spa, Easley, SC 29640 | 2008-04-22 |
| 1760685143 | Cannon Memorial Hospital | Family Medicine | 111 W. Roper Rd., Easley, SC 29640 | 2007-06-06 |
| 1942419171 | William Kent Hammond | Dentist | 298 Enterprise Dr, Easley, SC 29640 | 2007-05-22 |
| Find all providers in zip 29640 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467091306 | Carolina Spine and Pain Centers, LLC | Clinic/Center | 115 Brushy Creek Rd, Easley, SC 29642-1120 | 2019-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114551926 | Nocd North Carolina PC | Clinic/Center | 374 Lakewind Dr, Moncks Corner, SC 29461-7448 | 2020-03-02 |
| 1316419484 | Open Arms Counseling Center | Clinic/Center | 123 Erinvine Ct, Darlington, SC 29532-4203 | 2018-12-29 |
| 1750851085 | Jacobus Orthopedics and Interventional Pain Management LLC | Clinic/Center | 118 Clair Dr, Piedmont, SC 29673-7771 | 2018-11-29 |
| 1629556477 | Healthworks Med Group of South Carolina P C | Clinic/Center | 701 Chesterfield Hwy, Cheraw, SC 29520-7002 | 2018-08-03 |
| 1780177576 | Denmark-olar Elementary School | Clinic/Center | 1459 Solomon Blatt Blvd, Denmark, SC 29042 | 2018-06-07 |
| 1841782802 | Denmark-olar High School | Clinic/Center | 197 Viking Cir, Denmark, SC 29042 | 2018-06-05 |
| 1760974828 | Sandy Run K-8 School | Clinic/Center | 450 Old Swamp Rd, Swansea, SC 29160 | 2018-06-05 |
| 1881185999 | St. Matthews K-8 School | Clinic/Center | 132 Saints Avenue, St .matthews, SC 29135 | 2018-05-24 |
| 1598256711 | Calhoun County High School | Clinic/Center | 150 Saints Ave, St Matthews, SC 29135-9005 | 2018-05-23 |
| 1962908558 | Vitality Health Network LLC | Clinic/Center | 3100 Dick Pond Rd Unit E, Myrtle Beach, SC 29588-7286 | 2018-04-03 |
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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.