CARESOUTH CAROLINA INC (NPI# 1639458672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639458672 |
| Entity Type | Organization |
| Organization Name | CARESOUTH CAROLINA INC |
| Practice Address |
210 W Main St Bennettsville SC 29512-3122 |
| Mailing Address |
Po Box 1090 Hartsville SC 29551-1090 |
| Practice Telephone | 8434791200 |
| Practice Fax Number | 8434791230 |
| Mailing Telephone | 8438570111 |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2012-03-21 |
| Authorized Official Name | ANN M LEWIS (CEO) |
| Authorized Official Telephone | 8438570111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | FQC093 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568859130 | Caresouth Carolina Inc | Clinic/Center | 1076 Marlboro Way Ste 1, Bennettsville, SC 29512-2495 | 2015-04-22 |
| 1174833511 | Caresouth Carolina Inc | Dentist | 737 S Main Street, Society Hill, SC 29593 | 2010-10-19 |
| 1790327120 | Caresouth Carolina Inc | Nurse Practitioner | 100 Matheson St, Bennettsville, SC 29512-4034 | 2019-10-17 |
| 1770143281 | Caresouth Carolina Inc | Pharmacy | 3080 Highway 15-401 E, Mc Coll, SC 29570-6128 | 2019-06-17 |
| 1487142956 | Caresouth Carolina Inc | Pharmacy | 743 S Main St, Society Hill, SC 29593-8972 | 2018-04-30 |
| 1730614587 | Caresouth Carolina Inc | Pharmacy | 715 S Doctors Dr, Cheraw, SC 29520-7113 | 2017-04-28 |
| 1336506427 | Caresouth Carolina Inc | Pharmacy | 122 Latimer St, Latta, SC 29565-1828 | 2016-01-21 |
| 1972980621 | Caresouth Carolina Inc | Clinic/Center | 122 Latimer St, Latta, SC 29565-1828 | 2015-05-01 |
| 1275812216 | Caresouth Carolina Inc | Clinic/Center | 106 Hospital Sq, Bishopville, SC 29010-7081 | 2011-08-09 |
| Street Address |
210 W MAIN ST |
| City | BENNETTSVILLE |
| State | SC |
| Zip Code | 29512-3122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134359029 | Lauren Nicole Worsham | Nurse Practitioner | 210 W Main St, Bennettsville, SC 29512-3122 | 2009-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861841371 | Anna Paige Paul | Counselor | 1035 Cherau St, Bennettsville, SC 29512 | 2016-06-06 |
| 1821468679 | Kristen Dana Oliver | Social Worker | 1035 Cherow St., Bennettsville, SC 29512 | 2015-10-05 |
| 1285022749 | 3-points Coastal Care,llc | Community/Behavioral Health | 1300 West Main St, Bennettsville, SC 29512 | 2015-01-06 |
| 1437572328 | Terri Cardenas Woodham | Pharmacist | 336 Highway 9 West, Bennettsville, SC 29512 | 2014-01-28 |
| 1851712533 | Amy Kessler | Pharmacist | 336 Hwy 9 West, Bennettsville, SC 29512 | 2013-12-23 |
| 1346677184 | Daniel Louis Lockamy | Counselor | 284 Tatum Rd, Bennettsville, SC 29512 | 2013-10-10 |
| 1164772596 | Melissa Irene Pletan | Pharmacist | 1085 Cottingham Blvd, Ste 3, Bennettsville, SC 29512 | 2012-09-13 |
| 1730440769 | Cigna Onsite Health LLC | Non-Pharmacy Dispensing Site | 2094 Marlboro Rd, Bennettsville, SC 29512 | 2012-06-06 |
| 1649572710 | Ingram Health Service/manna House.inc | Case Management | 211 N Market Street, Bennettsville, SC 29512 | 2010-11-23 |
| 1952564387 | Gregory Wayne Alford | Community Health Worker | 610 State Street Ext, Bennettsville, SC 29512 | 2008-07-07 |
| Find all providers in zip 29512 | ||||
| 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 |
|---|---|---|---|---|
| 1568859130 | Caresouth Carolina Inc | Clinic/Center | 1076 Marlboro Way Ste 1, Bennettsville, SC 29512-2495 | 2015-04-22 |
| 1457398521 | Caresouth Carolina, Inc | Clinic/Center | 999 Cheraw St, Bennettsville, SC 29512-2420 | 2006-05-31 |
| 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 | BENNETTSVILLE |
| Zip Code | 29512 |
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.