HEALTHSTAT ONSITE CLINIC PARKDALE PLANT 40 (NPI# 1629588363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629588363 |
| Entity Type | Organization |
| Organization Name | HEALTHSTAT ONSITE CLINIC PARKDALE PLANT 40 |
| Practice Address |
418 Ascauga Lake Rd Graniteville SC 29829-3528 |
| Mailing Address |
4651 Charlotte Park Dr Ste 300 Charlotte NC 28217-1916 |
| Practice Telephone | 8036633827 |
| Mailing Telephone | 7049355546 |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2017-10-09 |
| Authorized Official Name | JILL JOHNSON PATTON (DIRECTOR OF RISK MANAGEMENT) |
| Authorized Official Telephone | 7049365546 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
418 ASCAUGA LAKE RD |
| City | GRANITEVILLE |
| State | SC |
| Zip Code | 29829-3528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386255214 | Bettis Academy Dentistry, LLC | Dentist | 120b Bettis Academy Road, Graniteville, SC 29829 | 2020-08-13 |
| 1770146540 | Midland Valley Behavioral Health & Consulting, LLC | Community/Behavioral Health | 3524 Jefferson Davis Hwy, Graniteville, SC 29829 | 2019-04-17 |
| 1710224001 | Carly Schneider | Physician Assistant | 110 Sasanqua Dr, Graniteville, SC 29829 | 2013-01-07 |
| 1508034273 | Roseanne Conti Rodgers | Dentist | 120-b Bettis Academy Rd, Granitevelle, SC 29829 | 2008-02-15 |
| 1205994886 | Darrell William Jones | Social Worker | 3524 Jefferson Davis Highway, Graniteville, SC 29829 | 2006-12-05 |
| 1144310905 | Ilse Kiddy Alumbaugh | Nurse Practitioner | 1 Bridgestone Pkwy, Graniteville, SC 29829 | 2006-10-13 |
| 1659785582 | Robin Theo Mitchell | Nurse Practitioner | 110 Sasanqua Dr, Graniteville, SC 29829 | 2014-06-18 |
| 1043591183 | Brian Adams | Social Worker | 100 Dogwood Ave, Graniteville, SC 29829-2836 | 2011-09-02 |
| 1215156112 | Graniteville Family Medical Center LLC | Family Medicine | 1 Hickman St, Graniteville, SC 29829-2955 | 2007-04-25 |
| 1629022785 | Mae Jean Englee | Family Medicine | 1 Hickman Street, Agape Physicians Care, Graniteville, SC 29829-2955 | 2006-05-20 |
| Find all providers in zip 29829 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074656 | Healthstat Inc Zeus Blvd B | Preventive Medicine | 1170 Boulevard St Ste B, Orangeburg, SC 29115-4359 | 2020-08-19 |
| 1083226476 | Healthstat Inc Grace Management | Preventive Medicine | 951 South Pin Street, Suite 200, Spartanburg, SC 29302 | 2020-08-18 |
| 1033720636 | Healthstat Inc Internet | Preventive Medicine | 1300 Altura Rd, Fort Mill, SC 29708-7055 | 2020-08-17 |
| 1285263822 | Healthstat Onsite Clinic Harsco Rail | Preventive Medicine | 2401 Edmund Hwy, West Columbia, SC 29170-1931 | 2020-04-06 |
| 1134759020 | Healthstat Onsite Clinic Riegel Aiken | Preventive Medicine | 900 Trail Ridge Rd Ste 3, Aiken, SC 29803-7765 | 2020-01-21 |
| 1598315798 | Healthstat Onsite Clinic Zeus Columbia | Preventive Medicine | 115 15th St, Gaston, SC 29053-8260 | 2019-09-19 |
| 1588163463 | Healthstat Onsite Clinic-coats Greer | Preventive Medicine | 8 Shelter Dr, Greer, SC 29650-4818 | 2018-02-07 |
| 1881104529 | Healthstat Onsite Clinic Parkdale Plant 7 | Preventive Medicine | 325 Wilcox Ave, Gaffney, SC 29341-2743 | 2017-10-09 |
| 1740712389 | Healthstat Onsite Clinic Horry County | Preventive Medicine | 128 Professional Park Dr, Suite Healthstat Clinic, Conway, SC 29526-9260 | 2017-04-03 |
| 1861938672 | Healthstat Onsite Clinic Santolube | Preventive Medicine | 2155 W Croft Cir, Spartanburg, SC 29302-3078 | 2017-01-18 |
| Find all providers with the same taxonomy | ||||
| City | GRANITEVILLE |
| Zip Code | 29829 |
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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.