MEDICAL CENTER OF SANTEE LLC (NPI# 1114935475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114935475 |
Entity Type | Organization |
Organization Name | MEDICAL CENTER OF SANTEE LLC |
Practice Address |
500 Bass Drive Santee SC 29142 |
Practice Telephone | 8038543805 |
Practice Fax Number | 8038543810 |
Mailing Telephone | 8038543805 |
Mailing Fax Number | 8038543810 |
Enumeration Date | 2006-08-03 |
Last Update Date | 2014-08-26 |
Authorized Official Name | DR. MONNIE SINGLETON (MANAGER) |
Authorized Official Telephone | 8035353600 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | RHC172 | 05 | |
SC | GP4482 | 05 |
Street Address |
500 BASS DRIVE |
City | SANTEE |
State | SC |
Zip Code | 29142 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629312111 | Cvs Pharmacy | Pharmacist | 240 Planters Trace Rd, Santee, SC 29142 | 2012-11-21 |
1184861411 | Palmetto Eye Associates | Optometrist | 150 Plaza Circle, Santee, SC 29142 | 2009-01-08 |
1285890186 | Santee Family Medical Ctr | Clinic/Center | 309 Santee River Plz, Santee, SC 29142 | 2008-07-31 |
1205004520 | Santee Dental Care | Dentist | 190 B Plaza Circle, Santee, SC 29142 | 2008-02-20 |
1407032295 | Carolina Cataract Clinic | Ophthalmology | 8799 Old Highway # 6, Santee, SC 29142 | 2008-01-11 |
1891854949 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8910 Old Highway 6, Santee, SC 29142 | 2006-12-06 |
1821600917 | Melissa Kathryn Cherry | Pharmacist | 8910 Old Highway 6, Santee, SC 29142 | 2020-08-19 |
1407040728 | Delores Gregory Hollen | Counselor | 8799 Old Highway #6, Santee, SC 29142 | 2007-08-29 |
1467869776 | Vanester Ravenell | Social Worker | 1580 Bass Dr, Santee, SC 29142-0000 | 2014-07-18 |
1104228311 | Management Services of Santee | Exclusive Provider Organization | 1580 Bass Dr, Santee, SC 29142-0000 | 2014-09-18 |
Find all providers in zip 29142 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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1154786960 | R Dale Padgett Md Pa | Clinic/Center | 1727 Villagepark Dr, Orangeburg, SC 29118 | 2015-12-21 |
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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 |
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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.