ABBEVILLE COUNTY MEMORIAL HOSPITAL (NPI# 1063449361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063449361 |
| Entity Type | Organization |
| Organization Name | ABBEVILLE COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | ABBEVILLE AREA MEDICAL CENTER |
| Practice Address |
420 Thomson Cir Abbeville SC 29620 |
| Mailing Address |
Po Box 887 Abbeville SC 29620-0887 |
| Practice Telephone | 8643665011 |
| Practice Fax Number | 8643663317 |
| Mailing Telephone | 8643363249 |
| Mailing Fax Number | 8643663343 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2020-09-01 |
| Authorized Official Name | MR. LUCIEN ST. ONGE (CFO) |
| Authorized Official Telephone | 8643663289 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
HTL-098 | SC | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 0098SB | 05 | |
| FL | 9089888 00 | 05 | |
| GA | 00104607A | 05 | |
| SC | 252726 | 05 | |
| SC | 400612 | 05 | |
| SC | DPE053 | 05 | |
| SC | 142571 | 05 |
| Other Name | Type Code |
|---|---|
| Abbeville Area Medical Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 818 W Greenwood St, Abbeville, SC 296202515 | 8643661428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649816216 | Abbeville County Memorial Hospital | Social Worker | 131 Holiday Rd, Mc Cormick, SC 29835-3402 | 2019-11-19 |
| 1871694620 | Abbeville County Memorial Hospital | Home Health | 104 W Pickens St, Abbeville, SC 29620-2427 | 2006-09-26 |
| 1376641282 | Abbeville County Memorial Hospital | Durable Medical Equipment & Medical Supplies | 818 W Greenwood St, Abbeville, SC 29620-2515 | 2006-09-21 |
| 1598799017 | Abbeville County Memorial Hospital | Clinic/Center | 905 W Greenwood St, Abbeville, SC 29620-5678 | 2006-07-10 |
| 1285618132 | Abbeville County Memorial Hospital | Clinic/Center | 901 W Greenwood St Ste 1, Abbeville, SC 29620-5717 | 2005-12-05 |
| 1578175170 | Abbeville County Memorial Hospital | Podiatrist | 901 W Greenwood St Ste 1, Abbeville, SC 29620-5727 | 2020-08-17 |
| 1497238927 | Abbeville County Memorial Hospital | Pharmacy | 818 W Greenwood St, Abbeville, SC 29620-2515 | 2018-09-11 |
| 1083156004 | Abbeville County Memorial Hospital | Surgery | 901 W Greenwood St, Suite 8b, Abbeville, SC 29620-5717 | 2016-11-08 |
| 1689048464 | Abbeville County Memorial Hospital | Family Medicine | 6 College St, Due West, SC 29639-9554 | 2015-11-17 |
| 1467825166 | Abbeville County Memorial Hospital | Clinic/Center | 6 College St, Due West, SC 29639-9554 | 2015-11-04 |
| Street Address |
420 THOMSON CIR |
| City | ABBEVILLE |
| State | SC |
| Zip Code | 29620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649828021 | Ellen Morrison | Occupational Therapist | 420 Thomson Cir, Abbeville, SC 29620-5656 | 2019-08-29 |
| 1245798727 | Brandon Everett Scott | Nurse Practitioner | 420 Thomson Cir, Abbeville, SC 29620-5656 | 2019-03-04 |
| 1669900296 | Emily Horne Wallace | Nurse Practitioner | 420 Thomson Cir, Abbeville, SC 29620-5656 | 2017-05-26 |
| 1639343924 | Mack Rolin | Respiratory Therapist, Registered | 420 Thomson Cir, Abbeville, SC 29620-5656 | 2008-04-17 |
| 1053534750 | Edcare Consulting LLC | Emergency Medicine | 420 Thomson Cir, Abbeville, SC 29620-5656 | 2007-04-11 |
| 1407988868 | John E Milko | Emergency Medicine | 420 Thomson Cir, Abbeville, SC 29620-5656 | 2007-03-12 |
| 1710046644 | Kinchen Ballentine | Radiology | 420 Thomson Cir, Abbeville, SC 29620 | 2006-12-06 |
| 1881768349 | Michael P Fry | Specialist | 420 Thomson Cir, Abbeville, SC 29620-5656 | 2006-11-17 |
| 1346313582 | K. W. Ballentine, Md, Pa | Radiology | 420 Thomson Cir, Abbeville, SC 29620-5656 | 2006-11-16 |
| 1811096423 | Abbeville County Memorial Hospital | Medicare Defined Swing Bed Unit | 420 Thomson Cir, Abbeville, SC 29620-5656 | 2006-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851893325 | Janet Nancy Phelps | Registered Nurse | 486 Highway 72 E, Abbeville, SC 29620 | 2018-03-01 |
| 1467961128 | Marisol Palacios-cruz | Assisted Living Facility | 294 Highway 28 Bypass, Abbeville, SC 29620 | 2017-09-26 |
| 1740599703 | Larry Darnell Tompkins | Pharmacist | 763 Highway 28 Bypass, Fred's Pharmacy #1028, Abbeville, SC 29620 | 2010-09-24 |
| 1780861765 | Dixon Chiropractic | Chiropractor | 131-1 Highland Terrace, Abbeville, SC 29620 | 2008-01-22 |
| 1306999636 | Carolina Bone and Joint Clinic | Specialist | 2526 Highway 72 East, Abbeville, SC 29620 | 2007-01-19 |
| 1891877221 | Abbeville Urology | Specialist | 420 Thomson Circle, Abbeville, SC 29620 | 2006-10-19 |
| 1285747949 | Ashley Medical Transport Service | Ambulance | 940 Stevenson Rd, Abbeville, SC 29620 | 2006-08-16 |
| 1699707026 | Mark Marion Horton | Family Medicine | 92 Highway 72 West, Abbeville, SC 29620 | 2006-07-07 |
| 1265404743 | Abbeville County School District | Clinic/Center | 400 Greenville St., Abbeville, SC 29620 | 2006-02-07 |
| 1013996867 | County of Abbeville of Commissioners | Ambulance | 394 Hwy 28 Bypass, Abbeville, SC 29620 | 2006-01-11 |
| Find all providers in zip 29620 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871923854 | Gail Turner | General Acute Care Hospital | 5000 Thurmond Mall Ste 207, Columbia, SC 29201-2374 | 2013-11-12 |
| 1295161420 | Medical University of South Carolina | General Acute Care Hospital | 8792 Shadowglen Dr, North Charleston, SC 29420-8358 | 2013-09-19 |
| 1417110032 | Edgefield County Hospital | General Acute Care Hospital | 155 Ridge Medical Plaza, Suite B, Egefield, SC 29824-4535 | 2008-07-03 |
| 1033322144 | Springs Memorial Hospital | General Acute Care Hospital | 800 W. Meeting Street, Lancaster, SC 29720 | 2007-05-07 |
| 1386604726 | Fairfield Memorial Hospital | General Acute Care Hospital | 102 Us Highway 321 Byp N, Winnsboro, SC 29180-9251 | 2006-03-27 |
| 1023080439 | Edgefield County Hospital | General Acute Care Hospital | 300 Ridge Medical Plaza, Edgefield, SC 29824-0590 | 2006-02-02 |
| 1609866912 | Allendale County Hospital Board | General Acute Care Hospital | 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 | 2005-10-27 |
| 1639653751 | Self Regional Healthcare Partners | General Acute Care Hospital | 155 Ridge Medical Plaza Rd, Edgefield, SC 29824-4531 | 2018-09-25 |
| 1508340795 | Self Regional Healthcare Partners | General Acute Care Hospital | 300 Ridge Medical Plaza Rd, Edgefield, SC 29824-4525 | 2018-09-24 |
| 1417481151 | Greenville Health System | General Acute Care Hospital | 701 Grove Rd, Greenville, SC 29605-4210 | 2017-04-19 |
| 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.