FAIRFIELD MEMORIAL HOSPITAL


Address: 880 West Moultrie Street, Suite 3, Winnsboro, SC 29180-2411
Phone: 8036350288

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).

Provider Overview

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

Taxonomy

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 Provider/Organization Names

Other Name Type Code
Blue Granite Medical Center Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 880 WEST MOULTRIE STREET
SUITE 3
City WINNSBORO
State SC
Zip Code 29180-2411

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

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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

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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
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Competitor

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City WINNSBORO
Zip Code 29180

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Dataset Information

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.

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