KERSHAW HEALTH (NPI# 1851461529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851461529 |
| Entity Type | Organization |
| Organization Name | KERSHAW HEALTH |
| Other Organization Name | KERSHAWHEALTH PATHOLOGY |
| Practice Address |
1315 Roberts St Camden SC 29020-3737 |
| Mailing Address |
Po Box 7003 Camden SC 29020-7003 |
| Practice Telephone | 8037136376 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2009-09-23 |
| Authorized Official Name | MR. DONNIE J WEEKS (CEO) |
| Authorized Official Telephone | 8037136227 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 42D0248614 | SC | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 369382 | 05 | |
| SC | 328735 | 05 |
| Other Name | Type Code |
|---|---|
| KERSHAWHEALTH PATHOLOGY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528058641 | Kershaw Health | Family Medicine | 40 Pinnacle Parkway, Building 100 Suite 208, Elgin, SC 29045-8999 | 2005-10-28 |
| Street Address |
1315 ROBERTS ST |
| City | CAMDEN |
| State | SC |
| Zip Code | 29020-3737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194721076 | Samuel William Polen | Emergency Medicine | 1315 Roberts St, Camden, SC 29020-3737 | 2005-06-24 |
| 1710528260 | Gina Allen | Nurse Practitioner | 1315 Roberts St, Camden, SC 29020-3737 | 2019-10-07 |
| 1710543384 | Scott Patrick King | Physical Therapist | 1315 Roberts St, Camden, SC 29020-3737 | 2019-05-19 |
| 1598232332 | Jessica Leigh Davis Atkinson | Nurse Practitioner | 1315 Roberts St, Camden, SC 29020-3737 | 2018-10-30 |
| 1861996142 | Kershaw Hospital LLC | Psychiatric Unit | 1315 Roberts St, Camden, SC 29020-3737 | 2018-03-21 |
| 1073986048 | Kershaw Anesthesia, LLC | Anesthesiology | 1315 Roberts St, Camden, SC 29020-3737 | 2015-11-12 |
| 1386029882 | Sarah Creed Bradley | Nurse Practitioner | 1315 Roberts St, Camden, SC 29020-3737 | 2015-07-25 |
| 1316322027 | Kershaw Hospital LLC | Internal Medicine | 1315 Roberts St, Camden, SC 29020-3737 | 2015-07-23 |
| 1174903314 | Low Country Physicians Group, LLC | Emergency Medicine | 1315 Roberts St, Camden, SC 29020-3737 | 2015-06-03 |
| 1760876585 | Jack Robert Maxfield | Registered Nurse | 1315 Roberts St, Camden, SC 29020-3737 | 2015-03-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285252940 | Carolina Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 708 Lafayette Ave, Ste 4, Camden, SC 29020 | 2020-07-09 |
| 1205493871 | Kershaw County Board of Disabilities and Special Needs | Early Intervention Provider Agency | 1619 Jefferson Davis Highway, Camden, SC 29020 | 2019-05-20 |
| 1831669415 | Jennifer Dawn Colby | Counselor | 709 Mill Street, Camden, SC 29020 | 2018-11-27 |
| 1164990164 | Camden Oral Surgery & Implant Center | Dentist | 207 E. Dekalb St., Camden, SC 29020 | 2018-11-07 |
| 1730684036 | Speech Haus, LLC | Clinic/Center | 1029 Broadstreet, Suite 3, Kershaw, SC 29020 | 2018-03-28 |
| 1811414675 | Audra Rowell Scott | Registered Nurse | Kershaw County Health Department, 1116 Church Street, Camden, SC 29020 | 2017-08-23 |
| 1386173789 | Robert James Mccarthy | Specialist/Technologist | 410 Chewning Street, Camden, SC 29020 | 2017-06-08 |
| 1902357205 | First Physical Therapy LLC | Clinic/Center | 1114 Mill St, Camden, SC 29020 | 2016-10-21 |
| 1831598846 | Estate of William J Biggins | Dentist | 1015 Fair Street, Camden, SC 29020 | 2014-08-14 |
| 1154748424 | Diane Mcdonald | Registered Nurse | 1611 Church St, Camden, SC 29020 | 2014-03-25 |
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| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376882936 | Harris Corporation | Clinical Medical Laboratory | 435 Chambers Ave, Camden, NJ 08103-1404 | 2013-02-01 |
| 1356656862 | Coriell Institute for Medical Research | Clinical Medical Laboratory | 403 Haddon Ave, Camden, NJ 08103-1505 | 2010-08-10 |
| 1598238446 | Lab One LLC | Clinical Medical Laboratory | 353 Cash Rd Sw, Camden, AR 71701-3704 | 2019-01-03 |
| 1184989840 | Sentinel Health Partners, Pa | Clinical Medical Laboratory | 1344 Haile St, Camden, SC 29020-3076 | 2012-07-09 |
| 1720023583 | Cooper Pathology, PC | Clinical Medical Laboratory | 1 Cooper Plz, Camden, NJ 08103-1461 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568078509 | Jeff David Alexander | Clinical Medical Laboratory | 2724 Wade Hampton Blvd Ste C, Greenville, SC 29615-1110 | 2020-09-16 |
| 1558976100 | Enmed Microanalytics, Inc | Clinical Medical Laboratory | 645 Meeting St Ste 2, Charleston, SC 29403-4277 | 2020-09-10 |
| 1871107128 | Afg Services LLC | Clinical Medical Laboratory | 131 Falls St Ste 302, Greenville, SC 29601-2876 | 2020-09-03 |
| 1982214763 | Kempo Corporation | Clinical Medical Laboratory | 6096 Highway 151, Jefferson, SC 29718-5813 | 2020-08-05 |
| 1255952693 | Nacole Domanika Edwards | Clinical Medical Laboratory | 108 Roe St, Greer, SC 29651-1235 | 2020-04-27 |
| 1912564790 | Palmetto Sleep Lab LLC | Clinical Medical Laboratory | 2724 W Palmetto St Ste 12, Florence, SC 29501-4909 | 2019-05-28 |
| 1386110153 | Assure Laboratory Inc | Clinical Medical Laboratory | 1200 Woodruff Rd Ste H32, Greenville, SC 29607-5790 | 2018-10-19 |
| 1174009245 | Vikor Scientific, LLC | Clinical Medical Laboratory | 22 Westedge St., Suite 800, Charleston, SC 29403-2940 | 2018-07-12 |
| 1548789522 | Tracy R Trapp | Clinical Medical Laboratory | 9005 Two Notch Rd Ste 22, Columbia, SC 29223-5850 | 2017-09-12 |
| 1982142345 | Avanti Laboratories LLC | Clinical Medical Laboratory | 1650 Highway 9 E, Unit 1, Longs, SC 29568-5754 | 2017-02-06 |
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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.