CAROLINA RURAL PRACTICE MANAGEMENT, INC. (NPI# 1811020183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811020183 |
| Entity Type | Organization |
| Organization Name | CAROLINA RURAL PRACTICE MANAGEMENT, INC. |
| Other Organization Name | WAGENER MEDICAL CENTER |
| Practice Address |
120 Louie Street Wagener SC 29164-0098 |
| Mailing Address |
Po Box 98 120 Louie St Wagener SC 29164-0098 |
| Practice Telephone | 8035646497 |
| Practice Fax Number | 8035646498 |
| Mailing Telephone | 8035646497 |
| Mailing Fax Number | 8035646498 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-07-12 |
| Authorized Official Name | MR. CHARLIE CLIFTON ALSBROOKS (ADMINISTRATOR) |
| Authorized Official Telephone | 8036416277 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
08504 | SC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RHC025 | 05 |
| Other Name | Type Code |
|---|---|
| Wagener Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871757385 | Carolina Rural Practice Management, Inc. | Family Medicine | 22 Gardner Rd, Blackville, SC 29817-3126 | 2008-07-14 |
| 1134252588 | Carolina Rural Practice Management, Inc. | Clinic/Center | 2677 Main St, Williston, SC 29853-0177 | 2007-03-14 |
| 1699808006 | Carolina Rural Practice Management, Inc. | Clinic/Center | 22 Gardener Rd, Box 247, Blackville, SC 29817-0247 | 2007-03-14 |
| Street Address |
120 LOUIE STREET |
| City | WAGENER |
| State | SC |
| Zip Code | 29164-0098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902164171 | Dr. Vasant L. Garde | Clinic/Center | 120 Louie Street, Wagener, SC 29164 | 2012-04-25 |
| 1912137407 | Barnwell County Hospital | Clinic/Center | 120 Louie Street, Wagener, SC 29164 | 2009-07-20 |
| 1194955690 | Barnwell County Hospital | Clinic/Center | 120 Louie Street, Wagener, SC 29164 | 2009-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902317241 | Bela Family Dentistry of Wagener | Dentist | 112 Louie Street, Wagener, SC 29164 | 2017-10-13 |
| 1629463575 | H and M Healthcare | Durable Medical Equipment & Medical Supplies | 123 A Earl Street, Wagener, SC 29164 | 2015-03-30 |
| 1740602374 | Stephanie Grant | Registered Nurse | 20 A L Corbett Circle, Wagener, SC 29164 | 2014-01-16 |
| 1952738379 | Lexcaregivers LLC | In Home Supportive Care | 32 W Pine Circle, Wagener, SC 29164 | 2013-09-30 |
| 1255766986 | Virginia A Johnson | Health Educator | 32 W. Pine Circle, Wagener, SC 29164 | 2013-09-12 |
| 1811173602 | Carolina Cataract Clinic | Ophthalmology | 149 North Main Street, Wagener, SC 29164 | 2008-01-11 |
| 1689750572 | Julian Harrison Fair IIi | Dentist | Julian H. Fair 111,dmd,p.a., 112 Louie Street, 112 Louie Street, Wagener, SC 29164 | 2006-10-31 |
| 1124103536 | Rufus B. Antley, Od | Optometrist | 149 N. Main St, Wagener, SC 29164 | 2006-10-25 |
| 1093803934 | Clarence Williams Jr. | Dentist | 275 South Main Street, Wagener, SC 29164 | 2006-10-10 |
| 1952731531 | Jackson Chiropractic LLC | Chiropractor | 147 Main Street, Wagener, SC 29164 | 2013-11-19 |
| Find all providers in zip 29164 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902164171 | Dr. Vasant L. Garde | Clinic/Center | 120 Louie Street, Wagener, SC 29164 | 2012-04-25 |
| 1194955690 | Barnwell County Hospital | Clinic/Center | 120 Louie Street, Wagener, SC 29164 | 2009-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508482050 | The Palmetto Clinics, LLC | Clinic/Center | 463 Calhoun Ave Ste A-2, Greenwood, SC 29649-2063 | 2020-06-21 |
| 1962969154 | The Palmetto Palace | Clinic/Center | 217 Flat St E, Allendale, SC 29810-4647 | 2019-02-25 |
| 1972014652 | Mcleod Physician Associates II | Clinic/Center | 1040 Marlboro Way Ste 1, Bennettsville, SC 29512-2494 | 2017-10-20 |
| 1508377284 | Mcleod Physician Associates II | Clinic/Center | 1076 Marlboro Way Ste 3, Bennettsville, SC 29512-2495 | 2017-10-20 |
| 1154786960 | R Dale Padgett Md Pa | Clinic/Center | 1727 Villagepark Dr, Orangeburg, SC 29118 | 2015-12-21 |
| 1043602428 | Greenville Health System | Clinic/Center | 208 Frontage Rd Ste 1, Clemson, SC 29631-1671 | 2015-02-23 |
| 1114204153 | Mcleod Physician Associates II | Clinic/Center | 5260 Highway 9, Green Sea, SC 29545-4930 | 2011-11-04 |
| 1700160157 | Mackey Family Practice, Pa | Clinic/Center | 8351 Charlotte Hwy, Suite 200, Indian Land, SC 29707-6552 | 2011-10-04 |
| 1588943021 | Edisto Regional Health Services Inc. | Clinic/Center | 185 Mcgee St, Bamberg, SC 29003-1154 | 2011-08-16 |
| 1124307509 | Coastal Carolina Medical Center, Inc | Clinic/Center | 10911 N Jacob Smart Blvd, D, Ridgeland, SC 29936-2729 | 2011-08-16 |
| Find all providers with the same taxonomy | ||||
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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.