ABBEVILLE COUNTY MEMORIAL HOSPITAL (NPI# 1649816216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649816216 |
| Entity Type | Organization |
| Organization Name | ABBEVILLE COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | SAVANNAH LAKES FAMILY MEDICINE |
| Practice Address |
131 Holiday Rd Mc Cormick SC 29835-3402 |
| Mailing Address |
Po Box 887 Abbeville SC 29620-0887 |
| Practice Telephone | 8643669681 |
| Practice Fax Number | 8643665600 |
| Mailing Telephone | 8643669681 |
| Mailing Fax Number | 8643665600 |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2020-09-01 |
| Authorized Official Name | LUCIEN ST. ONGE (CFO) |
| Authorized Official Telephone | 8643663289 |
| Is Organization Subpart | Y |
| Parent Organization Name | ABBEVILLE COUNTY MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP9590 | 05 | |
| SC | CLIA | 42D2178584 | 01 |
| Other Name | Type Code |
|---|---|
| Savannah Lakes Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871694620 | Abbeville County Memorial Hospital | Home Health | 104 W Pickens St, Abbeville, SC 29620-2427 | 2006-09-26 |
| 1376641282 | Abbeville County Memorial Hospital | Durable Medical Equipment & Medical Supplies | 818 W Greenwood St, Abbeville, SC 29620-2515 | 2006-09-21 |
| 1598799017 | Abbeville County Memorial Hospital | Clinic/Center | 905 W Greenwood St, Abbeville, SC 29620-5678 | 2006-07-10 |
| 1063449361 | Abbeville County Memorial Hospital | Pharmacy | 420 Thomson Cir, Abbeville, SC 29620 | 2006-06-26 |
| 1285618132 | Abbeville County Memorial Hospital | Clinic/Center | 901 W Greenwood St Ste 1, Abbeville, SC 29620-5717 | 2005-12-05 |
| 1578175170 | Abbeville County Memorial Hospital | Podiatrist | 901 W Greenwood St Ste 1, Abbeville, SC 29620-5727 | 2020-08-17 |
| 1497238927 | Abbeville County Memorial Hospital | Pharmacy | 818 W Greenwood St, Abbeville, SC 29620-2515 | 2018-09-11 |
| 1083156004 | Abbeville County Memorial Hospital | Surgery | 901 W Greenwood St, Suite 8b, Abbeville, SC 29620-5717 | 2016-11-08 |
| 1689048464 | Abbeville County Memorial Hospital | Family Medicine | 6 College St, Due West, SC 29639-9554 | 2015-11-17 |
| 1467825166 | Abbeville County Memorial Hospital | Clinic/Center | 6 College St, Due West, SC 29639-9554 | 2015-11-04 |
| Street Address |
131 HOLIDAY RD |
| City | MC CORMICK |
| State | SC |
| Zip Code | 29835-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528609948 | Tontalia Williams | Technician | 108 Oak Street, Mccormick, SC 29835 | 2019-10-07 |
| 1275095580 | Ohio Valley Physicians Inc | Family Medicine | 504 North Mine St, Mccormick, SC 29835 | 2019-04-04 |
| 1992904536 | Robert Jay Lagroon | Dentist | 791 Hwy 7, Mccormick, SC 29835 | 2007-07-13 |
| 1063545119 | Carolina Health Centers, Inc. | Clinic/Center | 219a North Mine Street, Mccormick, SC 29835 | 2007-03-14 |
| 1336272400 | Carolina Health Centers | Dentist | 219b North Mine Street, Mccormick, SC 29835 | 2007-03-14 |
| 1245329143 | Carrie Gwennette Motes | Counselor | 202 Hwy. 28 North, Mccormick, SC 29835 | 2006-10-11 |
| 1437259207 | Pearl Blair-aiken | Social Worker | 209 Peachtree Street, Mccormick, SC 29835 | 2006-09-22 |
| 1710082391 | Susan Elizabeth Davis | Counselor | 202 Mine Street, Mccormick, SC 29835 | 2006-09-14 |
| 1851308456 | Savannah Heights Living Center, LLC | Skilled Nursing Facility | 1 Holiday Rd, Mccormick, SC 29835 | 2006-08-03 |
| 1134159171 | Robert J Kellett | Family Medicine | 219-a North Mine Street, Mccormick, SC 29835 | 2006-07-04 |
| Find all providers in zip 29835 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730122540 | Jasen D. Rowles | Family Medicine | 207 Holiday Rd, Mc Cormick, SC 29835-3430 | 2006-06-13 |
| 1255324190 | Lisa D Jennings | Family Medicine | 219a N Mine St, Mc Cormick, SC 29835-8363 | 2005-08-25 |
| 1194855346 | Gene E Floyd Jr. | Family Medicine | 219 N Mine St, Mc Cormick, SC 29835-8363 | 2007-03-06 |
| 1427080902 | Ashley C Wiggins | Family Medicine | 219a N Mine St, Mc Cormick, SC 29835-8363 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495841 | Neuro Health Sc LLC | Family Medicine | 108 Commons Blvd Ste A, Piedmont, SC 29673-7766 | 2020-10-21 |
| 1811595499 | Laura Coolidge | Family Medicine | 1528 Seacroft Rd, Charleston, SC 29412-8113 | 2020-10-15 |
| 1154928570 | Lexington Health Inc | Family Medicine | 146 E Hospital Dr Ste 500, West Columbia, SC 29169-4842 | 2020-10-08 |
| 1477150340 | Meghan Hodapp | Family Medicine | 623 Awendaw Lakes Blvd, Awendaw, SC 29429-6407 | 2020-10-05 |
| 1033716253 | Proactive Md Tindall Spartanburg Health Center | Family Medicine | 2273 Hayne St., Spartanburg, SC 29301 | 2020-10-01 |
| 1851906267 | Avneet Nagra | Family Medicine | 162 Montauk Dr, Lexington, SC 29072-6776 | 2020-09-11 |
| 1134732753 | Ovp Health Care, Inc. | Family Medicine | 101 S Catawba St, Lancaster, SC 29720-2411 | 2020-08-24 |
| 1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
| 1841801149 | Palmetto Primary Care Physicians, LLC | Family Medicine | 1200 Two Island Ct Unit E, Mt Pleasant, SC 29466-7418 | 2020-08-11 |
| 1922617950 | Fred E Hill | Family Medicine | 1033 Jervey Point Rd, Charleston, SC 29492-8372 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
| City | MC CORMICK |
| Zip Code | 29835 |
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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.