FAIRFIELD MEMORIAL HOSPITAL (NPI# 1992018691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992018691 |
Entity Type | Organization |
Organization Name | FAIRFIELD MEMORIAL HOSPITAL |
Other Organization Name | BLUE GRANITE MEDICAL CENTER |
Practice Address |
880 West Moultrie Street Suite 3 Winnsboro SC 29180-2411 |
Mailing Address |
P.o. Box 620 Winnsboro SC 29180-0620 |
Practice Telephone | 8036350288 |
Practice Fax Number | 8036350262 |
Mailing Telephone | 8036350288 |
Mailing Fax Number | 8036350262 |
Enumeration Date | 2010-07-22 |
Last Update Date | 2010-07-22 |
Authorized Official Name | MR. MICHAEL L. WILLIAMS SR. (ADMINISTRATOR) |
Authorized Official Telephone | 8036350233 |
Is Organization Subpart | Y |
Parent Organization Name | FAIRFIELD MEMORIAL HOSPITAL |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
HTL-154 | SC | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Blue Granite Medical Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154463115 | Fairfield Memorial Hospital | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 102 Us Hwy 321 By Pass N, Winnsboro, SC 29180 | 2007-02-13 |
1487702973 | Fairfield Memorial Hospital | Medicare Defined Swing Bed Unit | 102 Us Hwy 321 Bypass N, Winnsboro, SC 29180 | 2007-01-08 |
1386604726 | Fairfield Memorial Hospital | General Acute Care Hospital | 102 Us Highway 321 Byp N, Winnsboro, SC 29180-9251 | 2006-03-27 |
1558418111 | Fairfield Memorial Hospital | Pharmacy | 303 Nw 11th St, Fairfield, IL 62837-1203 | 2007-01-05 |
1750438362 | Fairfield Memorial Hospital | Pharmacy | 303 Nw 11th St, Fairfield, IL 62837-1203 | 2007-01-04 |
1821186479 | Fairfield Memorial Hospital | Nursing Facility/Intermediate Care Facility | 303 Nw 11th St, Fairfield, IL 62837-1203 | 2006-10-10 |
1770594277 | Fairfield Memorial Hospital | Pharmacy | 303 Nw 11th St, Fairfield, IL 62837-1203 | 2006-08-10 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | FAIRFIELD MEMORIAL HOSPITAL | 102 Us Highway 321 Byp N, Winnsboro, SC 29180-9251 |
System for Award Management (SAM) Entities | FAIRFIELD MEMORIAL HOSPITAL ASSOCIATION | 303 Northwest 11th St, Fairfield, IL 62837-1203 |
Street Address |
880 WEST MOULTRIE STREET SUITE 3 |
City | WINNSBORO |
State | SC |
Zip Code | 29180-2411 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023651957 | Sean Anthony Maxwell | Peer Specialist | 178 Highway 321 Bypass N., Winnsboro, SC 29180 | 2019-10-23 |
1467019778 | Fairfield County Disabilities and Special Needs Board | Early Intervention Provider Agency | 408 W Washington Street, Winnsboro, SC 29180 | 2019-05-22 |
1922577204 | Kimberly Speaks Steele | Counselor | 178 Us Highway 321 Bypass N, Winnsboro, SC 29180 | 2018-11-16 |
1407376957 | Tiffany L Boyd | Home Health | 409a Crawford St, Winnsboro, SC 29180 | 2017-06-26 |
1588902738 | Margarite H. Mccain | Counselor | 200 Calhoun Street, Winnsboro, SC 29180 | 2013-01-23 |
1710237268 | Elizabeth Caulder | Pharmacist | 27 Us Hwy 321 Bypass South, Winnsboro, SC 29180 | 2012-09-12 |
1801041124 | Jerelyn S Russell | Counselor | 1077 Kincaid Bridge Rd., Winnsboro, SC 29180 | 2008-12-01 |
1164683199 | Kimberly G Kinard | Psychiatry & Neurology | 1073 Us Highway 321 Bypass, Winnsboro Mental Health Center, Winnsboro, SC 29180 | 2008-06-23 |
1467658732 | Winnsboro Chiropractic | Chiropractor | 143 Hwy. 321 Bypass, Winnsboro, SC 29180 | 2007-06-25 |
1710181060 | Kudchadkar Clinic | Pediatrics | 880 West Moultrie St, Suite 100, Winnsboro, SC 29180 | 2007-06-12 |
Find all providers in zip 29180 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497068951 | Franklin Parish Hospital Service District No1 | Clinic/Center | 5745 Highway 17, Winnsboro, LA 71295 | 2010-07-26 |
1306907613 | The Community Health Foundation of Fairfield County | Clinic/Center | 56 Us Hwy 321 Bypass N, Winnsboro, SC 29180 | 2006-12-12 |
1902851124 | Franklin Parish Hospital Service District No1 | Clinic/Center | 2104 Loop Rd Ste C, Winnsboro, LA 71295-3341 | 2006-05-24 |
1598091555 | Mother Frances Hospital-winnsboro | Clinic/Center | 719 W Coke Rd, #4, Winnsboro, TX 75494-3011 | 2009-10-27 |
1922294867 | Mother Frances Hospital Winnsboro | Clinic/Center | 719 W Coke Rd Ste 4, Winnsboro, TX 75494-3060 | 2007-09-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508482050 | The Palmetto Clinics, LLC | Clinic/Center | 463 Calhoun Ave Ste A-2, Greenwood, SC 29649-2063 | 2020-06-21 |
1962969154 | The Palmetto Palace | Clinic/Center | 217 Flat St E, Allendale, SC 29810-4647 | 2019-02-25 |
1972014652 | Mcleod Physician Associates II | Clinic/Center | 1040 Marlboro Way Ste 1, Bennettsville, SC 29512-2494 | 2017-10-20 |
1508377284 | Mcleod Physician Associates II | Clinic/Center | 1076 Marlboro Way Ste 3, Bennettsville, SC 29512-2495 | 2017-10-20 |
1154786960 | R Dale Padgett Md Pa | Clinic/Center | 1727 Villagepark Dr, Orangeburg, SC 29118 | 2015-12-21 |
1043602428 | Greenville Health System | Clinic/Center | 208 Frontage Rd Ste 1, Clemson, SC 29631-1671 | 2015-02-23 |
1114204153 | Mcleod Physician Associates II | Clinic/Center | 5260 Highway 9, Green Sea, SC 29545-4930 | 2011-11-04 |
1700160157 | Mackey Family Practice, Pa | Clinic/Center | 8351 Charlotte Hwy, Suite 200, Indian Land, SC 29707-6552 | 2011-10-04 |
1588943021 | Edisto Regional Health Services Inc. | Clinic/Center | 185 Mcgee St, Bamberg, SC 29003-1154 | 2011-08-16 |
1124307509 | Coastal Carolina Medical Center, Inc | Clinic/Center | 10911 N Jacob Smart Blvd, D, Ridgeland, SC 29936-2729 | 2011-08-16 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on FAIRFIELD MEMORIAL HOSPITAL.
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.