MEDICAL UNIVERSITY HOSPITAL AUTHORITY (NPI# 1164987624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164987624 |
| Entity Type | Organization |
| Organization Name | MEDICAL UNIVERSITY HOSPITAL AUTHORITY |
| Other Organization Name | MUSC CHILDRENS PEDIATRICS MARION MEDICAL PARK |
| Practice Address |
2845 E Highway 76 Ste 4 Mullins SC 29574-6037 |
| Mailing Address |
Po Box 936801 Atlanta GA 31193-6801 |
| Practice Telephone | 8434312720 |
| Mailing Telephone | 8437922300 |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-11-04 |
| Authorized Official Name | KARYN RAE (DIRECTOR) |
| Authorized Official Telephone | 8438761344 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| MUSC Childrens Pediatrics Marion Medical Park | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911075 | Medical University Hospital Authority | Pediatrics | 838 W Meeting St Ste E, Lancaster, SC 29720-6261 | 2020-08-04 |
| 1134738644 | Medical University Hospital Authority | Pediatrics | 1 Medical Park Dr Ste A, Chester, SC 29706-9769 | 2020-07-30 |
| 1134746555 | Medical University Hospital Authority | Internal Medicine | 1205 North Main Street, Mullins, SC 29474 | 2020-07-01 |
| 1639737349 | Medical University Hospital Authority | Pharmacy | 10 Mcclennan Banks Drive, Charleston, SC 29425-0001 | 2019-05-29 |
| 1265999197 | Medical University Hospital Authority | Clinic/Center | 1580 Freedom Blvd Ste 300, Florence, SC 29505-6074 | 2019-02-27 |
| 1083171185 | Medical University Hospital Authority | Pharmacy | 2250 Mall Drive, North Charleston, SC 29406 | 2019-02-25 |
| 1225593924 | Medical University Hospital Authority | Pediatrics | 2845 E Highway 76 Ste 5, Mullins, SC 29574-6037 | 2019-02-06 |
| 1497039390 | Medical University Hospital Authority | Pharmacy | 230 Albemarle Rd, Wh 126, Charleston, SC 29407-7522 | 2011-10-11 |
| 1659511061 | Medical University Hospital Authority | Pharmacy | 86 Jonathan Lucas St Rm 114, Charleston, SC 29425-8900 | 2009-02-25 |
| 1457950222 | Medical University Hospital Authority | Clinic/Center | 148 Sauls St Ste E, Lake City, SC 29560-2677 | 2020-10-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEDICAL UNIVERSITY HOSPITAL AUTHORITY | 169 Ashley Ave, Charleston, SC 29425-8905 |
| Street Address |
2845 E HIGHWAY 76 STE 4 |
| City | MULLINS |
| State | SC |
| Zip Code | 29574-6037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285251603 | Medical University Hospital Authority | Pediatrics | 2845 E Highway 76 Ste 4, Mullins, SC 29574-6037 | 2020-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700412921 | Maria Roman | Physical Therapist | 2829 East, Us-76, Mullins, SC 29574 | 2020-03-19 |
| 1679959431 | Healthy Childsmiles, LLC | Clinic/Center | 4504 East Highway 76, Mullins, SC 29574 | 2015-08-04 |
| 1629327549 | Shirley Howell Rogers | Pharmacist | 4005 Cleve Mayers Ct, Mullins, SC 29574 | 2012-09-06 |
| 1588834147 | Monique Hemingway-bell | Speech-Language Pathologist | 2622 Troy Atkinson Road, Mullins, SC 29574 | 2008-03-10 |
| 1932226156 | Patient Response Organization Inc | Ambulance | 142 South Main St, Mullins, SC 29574 | 2007-03-23 |
| 1164573200 | Marion School District Seven | Local Education Agency (LEA) | 3559 South Highway 501, Mullins, SC 29574 | 2007-01-16 |
| 1932270279 | Franklin Gasque Mason | Dentist | 410 South Main St, Mullins, SC 29574 | 2006-11-10 |
| 1033138904 | Iris M Floyd-norris | Family Medicine | 2835 East Highway 76, Ste 7, Mullins, SC 29574 | 2006-07-19 |
| 1790721207 | Home Therapy Inc | Durable Medical Equipment & Medical Supplies | 3391 Hwy. 76 E., Mullins, SC 29574 | 2006-06-22 |
| 1205876273 | John C Bilder | Dentist | 410 South Main Street, Mullins, SC 29574 | 2006-06-07 |
| Find all providers in zip 29574 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194033381 | Palmetto Medical Care LLC | Clinic/Center | 1002 S Main St, Mullins, SC 29574-3920 | 2010-09-22 |
| 1053623116 | Marion Physician Services LLC | Clinic/Center | 2835 E Highway 76, Suite 7, Mullins, SC 29574-6038 | 2010-07-06 |
| 1346561602 | Marion Physician Services LLC | Clinic/Center | 2845 E Highway 76, Suite 4, Mullins, SC 29574-6037 | 2010-06-21 |
| 1104147479 | Marion Physician Services LLC | Clinic/Center | 511 S Main St, Mullins, SC 29574-3509 | 2010-06-21 |
| 1346561263 | Marion Physician Services LLC | Clinic/Center | 2845 E Highway 76, Suite 5, Mullins, SC 29574-6037 | 2010-06-15 |
| 1871601039 | Campbell Family Practice, P.a. | Clinic/Center | 2835 E Highway 76, Suite 6, Mullins, SC 29574-6038 | 2006-08-28 |
| 1265466585 | Marion Regional Healthcare System | Clinic/Center | 2845 E Highway 76, Suite 4, Mullins, SC 29574-6037 | 2006-07-10 |
| 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 | ||||
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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.