HEALTHSTAT ON-SITE CLINIC/MILLIKEN ALLEN (NPI# 1821424045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821424045 |
| Entity Type | Organization |
| Organization Name | HEALTHSTAT ON-SITE CLINIC/MILLIKEN ALLEN |
| Practice Address |
164 Milliken St Blacksburg SC 29702 |
| Mailing Address |
4651 Charlotte Park Dr Suite 300 Charlotte NC 28217-1956 |
| Practice Telephone | 8648390481 |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-19 |
| Authorized Official Name | WARREN HUTTON (COO) |
| Authorized Official Telephone | 7045296161 |
| 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 |
164 MILLIKEN ST |
| City | BLACKSBURG |
| State | SC |
| Zip Code | 29702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316315054 | Jim Nasim Dmd, Pa | Dentist | 305 West Pine Street, Blacksburg, SC 29702 | 2015-09-11 |
| 1396163317 | Tammie Peterson | Licensed Practical Nurse | 402 Hardin Street, Blacksburg, SC 29702 | 2014-04-07 |
| 1861810343 | Tamera Randolph | Registered Nurse | 201 W. Ramseur Dr., Blackburg, SC 29702 | 2014-04-02 |
| 1942636154 | Healthstat On-site Clinic/milliken Magnolia | Preventive Medicine | 157 Milliken Rd., Blacksburg, SC 29702 | 2013-09-19 |
| 1366605214 | Leah Quirita Walden | Dentist | 2022 Cherry Road, Rock Hill, SC 29702 | 2008-07-09 |
| 1972792398 | Ron C Sisk | Chiropractor | 202 S Shelby St, Blacksburg, SC 29702 | 2007-10-22 |
| 1952347320 | Philip Edward Brafford Jr. | Chiropractor | 1742 W Cherokee Street, Blacksburg, SC 29702 | 2006-06-22 |
| 1457828329 | Supreme Management and Associates, LLC | Home Health | 107 1/2 W Cherokee St, Blacksburg, SC 29702-1501 | 2018-10-30 |
| 1518221258 | Jamie S Earls | Massage Therapist | 202 S Shelby St, Blacksburg, SC 29702-1542 | 2012-06-27 |
| 1629391230 | Sisk Chiropractic Clinic | Chiropractor | 202 S Shelby St, Blacksburg, SC 29702-1542 | 2010-03-10 |
| Find all providers in zip 29702 | ||||
| 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 |
|---|---|---|---|---|
| 1942636154 | Healthstat On-site Clinic/milliken Magnolia | Preventive Medicine | 157 Milliken Rd., Blacksburg, SC 29702 | 2013-09-19 |
| 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 |
| 1629588363 | Healthstat Onsite Clinic Parkdale Plant 40 | Preventive Medicine | 418 Ascauga Lake Rd, Graniteville, SC 29829-3528 | 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 |
| Find all providers with the same taxonomy | ||||
| City | BLACKSBURG |
| Zip Code | 29702 |
Please comment or provide details below to improve the information on HEALTHSTAT ON-SITE CLINIC/MILLIKEN ALLEN.
| 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.