PALMETTO STATE STAFFING GROUP, LLC (NPI# 1932132073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932132073 |
| Entity Type | Organization |
| Organization Name | PALMETTO STATE STAFFING GROUP, LLC |
| Practice Address |
113 Cherokee Rd Suite 2 Florence SC 29501-5247 |
| Practice Telephone | 8434130609 |
| Practice Fax Number | 8434130626 |
| Mailing Telephone | 8434130609 |
| Mailing Fax Number | 8434130626 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. HOMER FRANKLIN GAMBLE (PARTNER) |
| Authorized Official Telephone | 8434130609 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
07141 | SC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 207141 | 05 |
| Street Address |
113 CHEROKEE RD SUITE 2 |
| City | FLORENCE |
| State | SC |
| Zip Code | 29501-5247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700350444 | Angel Edwards Brown | Nurse Practitioner | Mcleod Health, 555 East Cheves Street, Florence, SC 29501 | 2019-01-16 |
| 1497229124 | Fred L. Evans IIi | Physical Therapy Assistant | 2439 Willwood Dr., Florence, SC 29501 | 2019-01-16 |
| 1841715596 | Faith Hope Love Homecare | Home Health | 604 S. Coit Street, Florence, SC 29501 | 2017-08-03 |
| 1083156350 | Karen Artis-bacote | Nurse Practitioner | 3835 Susan Dr, Florence, SC 29501 | 2016-11-17 |
| 1992251581 | Higher Ground Christian Counseling Service, LLC | Counselor | 1801 D West Evans Street, Florence, SC 29501 | 2016-09-01 |
| 1952752818 | Jack Carter Shackelford | Chiropractor | 311 West Palmetto Street, Florence, SC 29501 | 2016-06-22 |
| 1750743506 | Profection Therapy LLC | Clinic/Center | 315d North Beltline Dr., Florence, SC 29501 | 2016-03-22 |
| 1386002467 | Bergelt Optometric LLC | Optometrist | 2672 David Mcleod Blvd, Florence, SC 29501 | 2016-02-04 |
| 1437531993 | Sherika Tarshall Stuckey | Nurse Practitioner | 720 Coventry Lane, Apt C, Florence, SC 29501 | 2015-06-22 |
| 1245610062 | Christopher Tyree | Podiatrist | 709 W Evans St, Florence, SC 29501 | 2015-06-06 |
| Find all providers in zip 29501 | ||||
| Taxonomy Code | 261QI0500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Infusion Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760038848 | Intramed Plus Infusion & Medical Services, Pa | Clinic/Center | 1200 Woodruff Rd Ste G24, Greenville, SC 29607-5735 | 2019-08-14 |
| 1891232880 | Palmetto Health | Clinic/Center | 3010 Farrow Rd Ste 110, Columbia, SC 29203-7603 | 2017-01-27 |
| 1285874925 | Anderson Health & Wellness Center LLC | Clinic/Center | 1510 N Fant St, Anderson, SC 29621-4708 | 2009-02-20 |
| 1942369624 | Prisma Health-midlands | Clinic/Center | Palmetto Health - Enhanced Medicaid, 3301 Harden St Ext 7mp, Columbia, SC 29203-9965 | 2006-12-08 |
| 1649359928 | Homechoice Partners, Inc | Clinic/Center | 160 Congress Blvd, Ste D, Duncan, SC 29334-9478 | 2006-11-06 |
| 1730734468 | Intramed Plus Infusion & Medical Services, Pa | Clinic/Center | 112 Saluda Ridge Ct Ste 200, West Columbia, SC 29169-3461 | 2019-08-08 |
| 1770039885 | Prisma Health-upstate | Clinic/Center | 701 Grove Rd, Greenville, SC 29605-4210 | 2016-08-29 |
| 1043533896 | Mit Ambulatory Care Center | Clinic/Center | 149 Riverwalk Blvd, Suite 6, Ridgeland, SC 29936-8190 | 2010-03-09 |
| 1588737498 | Kershaw Hospital LLC | Clinic/Center | 1315 Roberts St, Camden, SC 29020-3737 | 2006-11-16 |
| 1538177019 | Greenville Health System | Clinic/Center | 701 Grove Rd, Greenville, SC 29605-5611 | 2006-08-03 |
| 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.