CARESOUTH CAROLINA, INC (NPI# 1629015755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629015755 |
| Entity Type | Organization |
| Organization Name | CARESOUTH CAROLINA, INC |
| Practice Address |
500 West Blvd Chesterfield SC 29709-1402 |
| Mailing Address |
Po Box 1090 Hartsville SC 29551-1090 |
| Practice Telephone | 8436235080 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2007-09-04 |
| Authorized Official Name | ANN LEWIS (CEO) |
| Authorized Official Telephone | 8438570111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | FQC013 | 05 | |
| SC | CBP012 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831620095 | Caresouth Carolina, Inc | Dentist | 741 S Main Street, Society Hill, SC 29593 | 2017-03-21 |
| 1457398521 | Caresouth Carolina, Inc | Clinic/Center | 999 Cheraw St, Bennettsville, SC 29512-2420 | 2006-05-31 |
| 1255762936 | Caresouth Carolina, Inc | Clinic/Center | 207 E Monroe St, Dillon, SC 29536-2557 | 2013-12-06 |
| 1285677443 | Caresouth Carolina, Inc | Clinic/Center | 715 S Doctors Dr, Suites A, B & D/e, Cheraw, SC 29520-7113 | 2006-06-14 |
| 1194763714 | Caresouth Carolina, Inc | Clinic/Center | 737 S Main St, Society Hill, SC 29593-8972 | 2006-06-04 |
| 1942247846 | Caresouth Carolina, Inc | Clinic/Center | 545 Sumter Hwy, Bishopville, SC 29010-7601 | 2006-05-31 |
| Street Address |
500 WEST BLVD |
| City | CHESTERFIELD |
| State | SC |
| Zip Code | 29709-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841270212 | Jack Wilson Rhyne | Social Worker | 500 West Blvd, Chesterfield, SC 29709-1402 | 2006-01-20 |
| 1548727787 | Sakeisha Magee | Social Worker | 500 West Blvd, Chesterfield, SC 29709-1402 | 2019-02-25 |
| 1659488393 | Cheryl Watson | Social Worker | 500 West Blvd, Chesterfield, SC 29709-1402 | 2006-08-25 |
| 1548374259 | Susan Robins | Family Medicine | 500 West Blvd, Chesterfield, SC 29709-1402 | 2006-08-18 |
| 1891700506 | Christina Biester | Family Medicine | 500 West Blvd, Chesterfield, SC 29709-1402 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255964433 | Andrea Jean Horn | Counselor | 207 Perry Wiley Way, Chesterfield, SC 29709 | 2020-02-17 |
| 1851639207 | Jennifer Fuentes Perez | Psychologist | 207 Commerce Drive, Chesterfield, SC 29709 | 2013-01-18 |
| 1114068301 | Turning Point Boys Home, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 3184 Hunts Mill Road, Chesterfield, SC 29709 | 2007-02-09 |
| 1083752505 | William Luke Perdue Sr. | Dentist | 220 South Craig St, Chesterfield, SC 29709 | 2007-02-05 |
| 1497830392 | State of South Carolina | Public Health or Welfare | 203 North Page Street, Chesterfield, SC 29709 | 2006-10-26 |
| 1619089729 | Bonnie J Cundiff | Counselor | 207 Commerce Ave, Chesterfield, SC 29709 | 2006-08-31 |
| 1730291857 | Gregory Lee Demby | Counselor | 207 Commerce Avenue, Tri County Mhc, Chesterfield, SC 29709 | 2006-08-31 |
| 1457369308 | Charles M Clark Dmd Pa | Dentist | 918 Holly St, Chesterfield, SC 29709 | 2006-08-04 |
| 1669023065 | Tonia Michelle Mcdonald | Counselor | 207 Commerce Ave., Chesterfield, SC 29709 | 2019-09-26 |
| 1437705431 | Madyson Elizabeth Scott | Counselor | 207 Commerce Ave, Chesterfield, SC 29709 | 2019-08-15 |
| Find all providers in zip 29709 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710225818 | Vernon J Harris East End Community Health Center | Clinic/Center | 2740 Bensley Commons Boulevard, Chesterfield, VA 23234 | 2013-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627153 | Hopehealth Inc | Clinic/Center | 2155 Paxville Hwy, Manning, SC 29102-5074 | 2020-10-21 |
| 1083228779 | Sandhills Medical Foundation Inc | Clinic/Center | 103 Main Street South, Bethune, SC 29009 | 2020-09-01 |
| 1235753914 | Eau Claire Cooperative Health Center Inc. | Clinic/Center | 4605 Monticello Rd Bldg C, Columbia, SC 29203-4156 | 2020-05-29 |
| 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 | ||||
| City | CHESTERFIELD |
| Zip Code | 29709 |
Please comment or provide details below to improve the information on CARESOUTH CAROLINA, INC.
| 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.