LOW COUNTRY HEALTH CARE SYSTEM (NPI# 1922468826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922468826 |
| Entity Type | Organization |
| Organization Name | LOW COUNTRY HEALTH CARE SYSTEM |
| Other Organization Name | WILLISTON FAMILY MEDICINE |
| Practice Address |
13975 Church St Williston SC 29853-5835 |
| Mailing Address |
333 Revolutionary Trl Fairfax SC 29827-7109 |
| Practice Telephone | 8032660060 |
| Practice Fax Number | 8032660065 |
| Mailing Telephone | 8036322533 |
| Mailing Fax Number | 8036322451 |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2017-02-15 |
| Authorized Official Name | ASHLEY BARNES (CEO) |
| Authorized Official Telephone | 8036322533 |
| Is Organization Subpart | Y |
| Parent Organization Name | LOW COUNTRY HEALTH CARE SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | FQC#198 | 05 |
| Other Name | Type Code |
|---|---|
| Williston Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215410667 | Low Country Health Care System | Clinic/Center | 19340 Solomon Blatt Ave N, Blackville, SC 29817-2304 | 2018-09-12 |
| 1386717296 | Low Country Health Care System | Clinic/Center | 1857 Joe Jeffords Highway, Orangeburg, SC 29115 | 2006-11-16 |
| 1578659942 | Low Country Health Care System | Clinic/Center | 86 Wren St., Barnwell, SC 29812 | 2006-10-05 |
| 1962442244 | Low Country Health Care System | Clinic/Center | 10706 Marlboro Avenue, Barnwell, SC 29812-1529 | 2006-06-07 |
| 1821518556 | Low Country Health Care System | Family Medicine | 526 North St, Bamberg, SC 29003-1319 | 2017-06-23 |
| 1780112912 | Low Country Health Care System | Clinic/Center | 124 Wren St, Barnwell, SC 29812-1527 | 2017-06-01 |
| 1306378310 | Low Country Health Care System | Clinic/Center | 185 Mcgee St, Bamberg, SC 29003-1154 | 2017-03-29 |
| 1063876084 | Low Country Health Care System | Pharmacy | 86 Wren St, Barnwell, SC 29812-1529 | 2016-04-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LOW COUNTRY HEALTH CARE SYSTEM, INC. | 333 Revolutionary Trail, Fairfax, SC 29827-7109 |
| Street Address |
13975 CHURCH ST |
| City | WILLISTON |
| State | SC |
| Zip Code | 29853-5835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083694335 | Heinz-peter Schafer | Preventive Medicine | 13975 Church St, Williston, SC 29853-5835 | 2006-01-20 |
| 1780220921 | Kristen M Caulder | Family Medicine | 13975 Church St, Williston, SC 29853-5835 | 2019-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669989349 | Brittany Wyndham | Pharmacist | 12935 Main Street, Williston, SC 29853 | 2018-01-04 |
| 1467837633 | Billie Williams | Licensed Practical Nurse | 415 Memorial Ave., Allendale, SC 29853 | 2015-07-29 |
| 1003273145 | Angela Sharpe | Pharmacist | 2 E Main St, Williston, SC 29853 | 2016-01-20 |
| 1619211521 | Angela Nicole Marzolf | Occupational Therapy Assistant | 5721 Springfield Rd, Williston, SC 29853 | 2012-11-15 |
| 1134252588 | Carolina Rural Practice Management, Inc. | Clinic/Center | 2677 Main St, Williston, SC 29853-0177 | 2007-03-14 |
| 1669524260 | John Wade Riley | Dentist | 10 Roundtree St., Williston, SC 29853-0659 | 2007-01-17 |
| 1750379442 | Williston Healthcare and Rehab, LLC | Skilled Nursing Facility | 5721 Springfield Rd, Williston, SC 29853-1917 | 2005-10-07 |
| 1497096259 | Alice Pyle Metts | Physical Therapist | 5721 Springfield Rd, Williston, SC 29853-1917 | 2013-03-04 |
| 1700120128 | Elise Faulkner | Physical Therapist | 5721 Springfield Rd, Williston, SC 29853-1917 | 2012-11-26 |
| 1215271812 | Cheryl Lee Gentry | Physical Therapy Assistant | 5721 Springfield Rd, Williston, SC 29853-1917 | 2012-11-20 |
| Find all providers in zip 29853 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649761693 | Northland Health Partners Community Health Center | Clinic/Center | 612 4th St East, Williston, ND 58802 | 2018-05-25 |
| 1255577631 | Trenton Medical Center Inc | Clinic/Center | 630 N Main St, Williston, FL 32696-1705 | 2009-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627153 | Hopehealth Inc | Clinic/Center | 2155 Paxville Hwy, Manning, SC 29102-5074 | 2020-10-21 |
| 1083228779 | Sandhills Medical Foundation Inc | Clinic/Center | 103 Main Street South, Bethune, SC 29009 | 2020-09-01 |
| 1235753914 | Eau Claire Cooperative Health Center Inc. | Clinic/Center | 4605 Monticello Rd Bldg C, Columbia, SC 29203-4156 | 2020-05-29 |
| 1982248852 | Regenesis Organization Community Health Center | Clinic/Center | 115 Thomas St Ste B, Union, SC 29379-2147 | 2019-11-04 |
| 1720636012 | Genesis Health Care, Inc | Clinic/Center | 115 Exchange St, Darlington, SC 29532-3203 | 2019-08-29 |
| 1063079549 | Health Care Partners of South Carolina, Inc. | Clinic/Center | 243 Singleton Ridge Rd, Units E&f, Conway, SC 29526-8391 | 2019-05-21 |
| 1043775703 | Rural Health Services Inc | Clinic/Center | 4200 Whiskey Rd, Aiken, SC 29803-8534 | 2019-02-07 |
| 1295202356 | Eau Claire Cooperative Health Center Inc. | Clinic/Center | 2600 Wheat St, Columbia, SC 29205-2315 | 2018-10-26 |
| 1215410667 | Low Country Health Care System | Clinic/Center | 19340 Solomon Blatt Ave N, Blackville, SC 29817-2304 | 2018-09-12 |
| 1922584481 | Sandhills Medical Foundation, Inc. | Clinic/Center | 290 Market Street, Ruby, SC 29741 | 2018-07-17 |
| 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.