ST. JAMES-SANTEE FAMILLY HEALTH CENTER, INC. (NPI# 1790180610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790180610 |
Entity Type | Organization |
Organization Name | ST. JAMES-SANTEE FAMILLY HEALTH CENTER, INC. |
Practice Address |
1189 Tibwin Rd Mc Clellanville SC 29458-9405 |
Mailing Address |
57 Jessamine Ave Georgetown SC 29440-5837 |
Practice Telephone | 8438873274 |
Practice Fax Number | 8438873817 |
Mailing Telephone | 8435468686 |
Enumeration Date | 2014-11-04 |
Last Update Date | 2014-11-04 |
Authorized Official Name | MRS. SANDRA D GILLIARD (CEO) |
Authorized Official Telephone | 8438873274 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Street Address |
1189 TIBWIN RD |
City | MC CLELLANVILLE |
State | SC |
Zip Code | 29458-9405 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588618441 | St. James-santee Family Health Center Inc. | Clinic/Center | 1189 Tibwin Rd, Mc Clellanville, SC 29458-9405 | 2006-05-22 |
1922652155 | Megan Elizabeth Clossman | Nurse Practitioner | 1189 Tibwin Rd, Mc Clellanville, SC 29458-9405 | 2019-07-25 |
1053716167 | Suzanne Morris Blakeley | Nurse Practitioner | 1189 Tibwin Rd, Mc Clellanville, SC 29458-9405 | 2014-10-31 |
1417208091 | Ryan Nicole Law Johnson | Nurse Practitioner | 1189 Tibwin Rd, Mc Clellanville, SC 29458-9405 | 2012-09-24 |
1972897684 | Lola J Burke | Family Medicine | 1189 Tibwin Rd, Mc Clellanville, SC 29458-9405 | 2011-05-31 |
1417973991 | Deborah Ann Fraser | Counselor | 1189 Tibwin Rd, Mc Clellanville, SC 29458-9405 | 2006-07-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588061865 | Debra Elizabeth Erich | Nurse Practitioner | 580 Romain Road, Mcclellanville, SC 29458 | 2014-12-02 |
1558480764 | Sandra Reid Bigelow | Dentist | 832 Pinckney St., Mcclellanville, SC 29458 | 2007-03-28 |
1578620084 | Mcclellanville Pharmacy Inc. | Pharmacy | 10035 Highway 17 North, Mcclellanville, SC 29458 | 2007-01-03 |
1750320305 | Joseph Deer Thomas Jr. | Emergency Medicine | 606 R Pinckney Street, Mc Clellanville, SC 29458 | 2006-06-06 |
1881012904 | Roper Saint Francis Physicians Network | Family Medicine | 631 Venning St, Mc Clellanville, SC 29458 | 2014-04-05 |
1073684585 | Patricia A Quinlan | Nurse Practitioner | 1189 Tibwin Road, Mcclelanville, SC 29458 | 2006-11-13 |
1457416687 | Gail J Guzzo | Pharmacist | 815 Pinckney Street, Mcclellanville, SC 29458-0368 | 2006-12-27 |
1598830598 | James E. Fulcher | Family Medicine | 631 Venning St, Mc Clellanville, SC 29458-0699 | 2006-11-22 |
1366767683 | St. James-santee Family Health Center Inc. | Clinic/Center | 8900 N Highway 17, Mc Clellanville, SC 29458-7408 | 2010-03-30 |
1467897157 | Isla Ruth Merritt | Registered Nurse | 8900 N Highway 17, Mc Clellanville, SC 29458-7408 | 2013-05-08 |
Find all providers in zip 29458 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710202528 | St. James-santee Family Health Center Inc. | Clinic/Center | 714 Lincoln Rd, Mc Clellanville, SC 29458-9601 | 2010-04-05 |
1366767683 | St. James-santee Family Health Center Inc. | Clinic/Center | 8900 N Highway 17, Mc Clellanville, SC 29458-7408 | 2010-03-30 |
1588618441 | St. James-santee Family Health Center Inc. | Clinic/Center | 1189 Tibwin Rd, Mc Clellanville, SC 29458-9405 | 2006-05-22 |
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Find all providers with the same taxonomy |
City | MC CLELLANVILLE |
Zip Code | 29458 |
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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.