CARESOUTH CAROLINA INC (NPI# 1972980621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972980621 |
| Entity Type | Organization |
| Organization Name | CARESOUTH CAROLINA INC |
| Practice Address |
122 Latimer St Latta SC 29565-1828 |
| Practice Telephone | 8438570111 |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2016-06-15 |
| Authorized Official Name | ANN M LEWIS (CEO) |
| Authorized Official Telephone | 8438570111 |
| Is Organization Subpart | N |
| 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 | FQC197 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568859130 | Caresouth Carolina Inc | Clinic/Center | 1076 Marlboro Way Ste 1, Bennettsville, SC 29512-2495 | 2015-04-22 |
| 1174833511 | Caresouth Carolina Inc | Dentist | 737 S Main Street, Society Hill, SC 29593 | 2010-10-19 |
| 1790327120 | Caresouth Carolina Inc | Nurse Practitioner | 100 Matheson St, Bennettsville, SC 29512-4034 | 2019-10-17 |
| 1770143281 | Caresouth Carolina Inc | Pharmacy | 3080 Highway 15-401 E, Mc Coll, SC 29570-6128 | 2019-06-17 |
| 1487142956 | Caresouth Carolina Inc | Pharmacy | 743 S Main St, Society Hill, SC 29593-8972 | 2018-04-30 |
| 1730614587 | Caresouth Carolina Inc | Pharmacy | 715 S Doctors Dr, Cheraw, SC 29520-7113 | 2017-04-28 |
| 1336506427 | Caresouth Carolina Inc | Pharmacy | 122 Latimer St, Latta, SC 29565-1828 | 2016-01-21 |
| 1639458672 | Caresouth Carolina Inc | Pediatrics | 210 W Main St, Bennettsville, SC 29512-3122 | 2011-08-09 |
| 1275812216 | Caresouth Carolina Inc | Clinic/Center | 106 Hospital Sq, Bishopville, SC 29010-7081 | 2011-08-09 |
| Street Address |
122 LATIMER ST |
| City | LATTA |
| State | SC |
| Zip Code | 29565-1828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487766549 | Carolyn Whitfield Fulmore | Counselor | 122 Latimer St, Latta, SC 29565-1828 | 2006-08-31 |
| 1306378856 | Kristopher Olen Lane | Nurse Practitioner | 122 Latimer St, Latta, SC 29565-1828 | 2017-04-03 |
| 1336506427 | Caresouth Carolina Inc | Pharmacy | 122 Latimer St, Latta, SC 29565-1828 | 2016-01-21 |
| 1386983294 | Susan T Brown | Registered Nurse | 122 Latimer St, Latta, SC 29565-1828 | 2013-02-13 |
| 1841525631 | James Bernard Fleming | Family Medicine | 122 Latimer St, Latta, SC 29565-1828 | 2009-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619409901 | Archie Brown | Nurse Practitioner | 122 Latimer St., Latta, SC 29565 | 2017-03-28 |
| 1841383551 | Latta Rescue Squad, Inc. | Ambulance | 107 West Bambergg Street, Latta, SC 29565 | 2006-10-02 |
| 1023021227 | Dillon County School District Three | Local Education Agency (LEA) | 205 King St, Latta, SC 29565 | 2006-08-15 |
| 1952684433 | Cox Speech-language Pathology, Inc. | Speech-Language Pathologist | 108 N Mauldin St, Latta, SC 29565-1319 | 2011-09-21 |
| 1215347968 | Med Atlantic | Non-emergency Medical Transport (VAN) | 108 N Mauldin St, Latta, SC 29565-1319 | 2014-05-03 |
| 1598004475 | Sandra Jones | Psychologist | 205 King St, Latta, SC 29565-1401 | 2013-02-12 |
| 1225377336 | Denise Marie Gallant | Psychologist | 205 King St, Latta, SC 29565-1401 | 2013-02-08 |
| 1467791335 | Anita Graves Mace | Registered Nurse | 602 N Richardson St, Latta, SC 29565-1416 | 2013-02-12 |
| 1871579557 | Raeford Lee Clanton | Dentist | 203 S Marion St, Latta, SC 29565-1522 | 2005-12-15 |
| 1992032486 | Modern Legacy, Inc. | Dentist | 203 S Marion St, Latta, SC 29565-1522 | 2009-11-04 |
| Find all providers in zip 29565 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 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.