LOW COUNTRY HEALTH CARE SYSTEM (NPI# 1215410667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215410667 |
| Entity Type | Organization |
| Organization Name | LOW COUNTRY HEALTH CARE SYSTEM |
| Other Organization Name | BLACKVILLE SPECIALTY SERVICES |
| Practice Address |
19340 Solomon Blatt Ave N Blackville SC 29817-2304 |
| Mailing Address |
86 Wren St Barnwell SC 29812-1529 |
| Practice Telephone | 8036322533 |
| Mailing Telephone | 8032595762 |
| Mailing Fax Number | 8032593250 |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2019-04-12 |
| Authorized Official Name | DARAINEY HUDSON (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Telephone | 8036322533 |
| Is Organization Subpart | Y |
| Parent Organization Name | LOW COUNTRY HEALTH CARE SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE GROUP NUMBER | 6850 | 01 |
| Other Name | Type Code |
|---|---|
| Blackville Specialty Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386717296 | Low Country Health Care System | Clinic/Center | 1857 Joe Jeffords Highway, Orangeburg, SC 29115 | 2006-11-16 |
| 1578659942 | Low Country Health Care System | Clinic/Center | 86 Wren St., Barnwell, SC 29812 | 2006-10-05 |
| 1962442244 | Low Country Health Care System | Clinic/Center | 10706 Marlboro Avenue, Barnwell, SC 29812-1529 | 2006-06-07 |
| 1821518556 | Low Country Health Care System | Family Medicine | 526 North St, Bamberg, SC 29003-1319 | 2017-06-23 |
| 1780112912 | Low Country Health Care System | Clinic/Center | 124 Wren St, Barnwell, SC 29812-1527 | 2017-06-01 |
| 1306378310 | Low Country Health Care System | Clinic/Center | 185 Mcgee St, Bamberg, SC 29003-1154 | 2017-03-29 |
| 1063876084 | Low Country Health Care System | Pharmacy | 86 Wren St, Barnwell, SC 29812-1529 | 2016-04-06 |
| 1922468826 | Low Country Health Care System | Clinic/Center | 13975 Church St, Williston, SC 29853-5835 | 2016-03-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LOW COUNTRY HEALTH CARE SYSTEM, INC. | 333 Revolutionary Trail, Fairfax, SC 29827-7109 |
| Street Address |
19340 SOLOMON BLATT AVE N |
| City | BLACKVILLE |
| State | SC |
| Zip Code | 29817-2304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235225608 | Low Country Health Care System, Inc. | Clinic/Center | 130 Baker Street, Blackville, SC 29817 | 2006-10-05 |
| 1699808006 | Carolina Rural Practice Management, Inc. | Clinic/Center | 22 Gardener Rd, Box 247, Blackville, SC 29817-0247 | 2007-03-14 |
| 1821186461 | Blackville Health Investors | Pharmacy | 19354 Solomon Blatt Ave N, Blackville, SC 29817-2304 | 2006-10-10 |
| 1194278879 | Kimberly Spires | Nurse Practitioner | 130 Baker Street, Blackville, SC 29817-2304 | 2016-07-28 |
| 1427393024 | Blackville Health Investors | Pharmacy | 19354 Solomon Blatt Ave N, Blackville, SC 29817-2304 | 2012-12-07 |
| 1932444676 | Blackville Health Investors Inc | Durable Medical Equipment & Medical Supplies | 19354 Solomon Blatt Ave N, Blackville, SC 29817-2304 | 2012-12-06 |
| 1659625846 | Rebecca Barr Copeland | Pharmacist | 19354 Solomon Blatt Ave N, Blackville, SC 29817-2304 | 2012-11-09 |
| 1992034946 | Kerin A Mccormack | Family Medicine | 130 Baker Street, Blackville, SC 29817-2304 | 2009-12-21 |
| 1639256605 | Daniels Pharmacy # 3 Inc | Durable Medical Equipment & Medical Supplies | 19354 Solomon Blatt Ave N, Blackville, SC 29817-2304 | 2006-11-01 |
| 1477505337 | Barnwell School District 19 | Local Education Agency (LEA) | 297 Pascallas St, Blackville, SC 29817-2355 | 2006-05-17 |
| Find all providers in zip 29817 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235225608 | Low Country Health Care System, Inc. | Clinic/Center | 130 Baker Street, Blackville, SC 29817 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627153 | Hopehealth Inc | Clinic/Center | 2155 Paxville Hwy, Manning, SC 29102-5074 | 2020-10-21 |
| 1083228779 | Sandhills Medical Foundation Inc | Clinic/Center | 103 Main Street South, Bethune, SC 29009 | 2020-09-01 |
| 1235753914 | Eau Claire Cooperative Health Center Inc. | Clinic/Center | 4605 Monticello Rd Bldg C, Columbia, SC 29203-4156 | 2020-05-29 |
| 1982248852 | Regenesis Organization Community Health Center | Clinic/Center | 115 Thomas St Ste B, Union, SC 29379-2147 | 2019-11-04 |
| 1720636012 | Genesis Health Care, Inc | Clinic/Center | 115 Exchange St, Darlington, SC 29532-3203 | 2019-08-29 |
| 1063079549 | Health Care Partners of South Carolina, Inc. | Clinic/Center | 243 Singleton Ridge Rd, Units E&f, Conway, SC 29526-8391 | 2019-05-21 |
| 1043775703 | Rural Health Services Inc | Clinic/Center | 4200 Whiskey Rd, Aiken, SC 29803-8534 | 2019-02-07 |
| 1295202356 | Eau Claire Cooperative Health Center Inc. | Clinic/Center | 2600 Wheat St, Columbia, SC 29205-2315 | 2018-10-26 |
| 1922584481 | Sandhills Medical Foundation, Inc. | Clinic/Center | 290 Market Street, Ruby, SC 29741 | 2018-07-17 |
| 1518454818 | Fetter Health Care Network, Inc. | Clinic/Center | 130 Varnfield Dr Ste 100, Summerville, SC 29483-7317 | 2018-04-23 |
| Find all providers with the same taxonomy | ||||
| City | BLACKVILLE |
| Zip Code | 29817 |
Please comment or provide details below to improve the information on LOW COUNTRY HEALTH CARE SYSTEM.
| 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.