SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE (NPI# 1417557471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417557471 |
Entity Type | Organization |
Organization Name | SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE |
Practice Address |
164 Waccamaw Medical Park Dr Conway SC 29526-8903 |
Mailing Address |
2414 Bull St Columbia SC 29201-1906 |
Practice Telephone | 8433474888 |
Mailing Telephone | 8038988461 |
Enumeration Date | 2020-10-29 |
Last Update Date | 2020-10-29 |
Authorized Official Name | TRACY L TURNER (CONTROLLER) |
Authorized Official Telephone | 8038988503 |
Is Organization Subpart | Y |
Parent Organization Name | SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Highway to Hope Waccamaw Primary Care | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205925567 | South Carolina Dept of Mental Health Accounting Office | Clinic/Center | 125 E Cheves St, Florence, SC 29506-2526 | 2006-10-12 |
1104838192 | South Carolina Dept of Mental Health Accounting Office | Skilled Nursing Facility | 2461 Sidneys Rd, Walterboro, SC 29488-6783 | 2006-08-12 |
1568476885 | South Carolina Dept of Mental Health Accounting Office | Clinic/Center | 448 Lakeshore Pkwy, Suite 205, Rock Hill, SC 29730-4264 | 2006-07-29 |
1245279595 | South Carolina Dept of Mental Health Accounting Office | Clinic/Center | 801 N Pike W, Sumter, SC 29153-1906 | 2006-06-05 |
1376595041 | South Carolina Dept of Mental Health Accounting Office | Psychiatric Hospital | 130 Highway 252, Anderson, SC 29621-5054 | 2006-05-17 |
1184675316 | South Carolina Dept of Mental Health Accounting Office | Clinic/Center | 8301 Farrow Rd, Columbia, SC 29203-3245 | 2006-05-12 |
1609825264 | South Carolina Dept of Mental Health Accounting Office | Psychiatric Hospital | 220 Faison Dr, Columbia, SC 29203-3210 | 2006-05-09 |
1508814625 | South Carolina Dept of Mental Health Accounting Office | Clinic/Center | 200 Mcgee Rd, Anderson, SC 29625-2142 | 2006-05-04 |
1316904857 | South Carolina Dept of Mental Health Accounting Office | Clinic/Center | 1135 Gregg Hwy, Aiken, SC 29801-6341 | 2006-04-27 |
1073113031 | South Carolina Dept of Mental Health Accounting Office | Nurse Practitioner | 125 E Cheves St, Florence, SC 29506-2526 | 2020-10-29 |
Street Address |
164 WACCAMAW MEDICAL PARK DR |
City | CONWAY |
State | SC |
Zip Code | 29526-8903 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659370021 | Kurt Klauburg | Psychiatry & Neurology | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2005-07-19 |
1740881242 | Tracey Buster | Social Worker | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-11-03 |
1427676907 | Leslie Ethridge Barnes | Registered Nurse | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-07-10 |
1043849151 | Juleian Edwards | Counselor | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-04-02 |
1942835202 | Rachel Anne Hemingway | Registered Nurse | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-03-06 |
1912530221 | Matthew John Beauchemin | Social Worker | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-02-14 |
1114559085 | Jeffrey N. Osborne | Counselor | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-02-10 |
1790317006 | Joshawna April Mcabee | Social Worker | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-02-05 |
1922639343 | Lorie A Matthews | Counselor | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-02-04 |
1134759756 | Sundy Graham Rebeschke | Social Worker | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-01-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
Find all providers in zip 29526 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225317159 | House Calls, On Call | Clinic/Center | 2920 Adam St, Conway, AR 72034-5502 | 2011-08-09 |
1144416330 | Conway Family Clinic, Inc. | Clinic/Center | 301 S. Newport, Conway, MO 65632 | 2007-09-20 |
1538263272 | Waccamaw Primary Care,llc | Clinic/Center | 660 Singleton Ridge, Suite A, Conway, SC 29526 | 2006-09-12 |
1447637327 | Rivertown Wellness Center, LLC | Clinic/Center | 1210 Main St, Conway, SC 29526-3633 | 2015-04-30 |
1487882023 | Eaw Inc | Clinic/Center | 525 Hendrix Cv, Conway, AR 72034-7742 | 2009-06-22 |
1669687851 | Northampton Family Practice, PC | Clinic/Center | 111 E Main St, Conway, NC 27820-0348 | 2007-05-11 |
1659382067 | Coastal Pediatrics | Clinic/Center | 8030 Myrtle Trace Dr, Conway, SC 29526-8945 | 2006-08-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700484821 | Grace Physicians Services | Clinic/Center | 1483 Old Cherokee Road, Lexington, SC 29072 | 2020-10-12 |
1750995007 | Trinity Health and Wellness | Clinic/Center | 1483 Old Cherokee Rd, Lexington, SC 29072 | 2020-09-03 |
1841847423 | Healthworks Med Group of South Carolina P C | Clinic/Center | 9051 Palmetto Commerce Pkwy, Ladson, SC 29456-6705 | 2019-08-20 |
1528561453 | Sea Island Medical Care | Clinic/Center | 2114 Highway 41, Suite 105, Mount Pleasant, SC 29466 | 2018-03-16 |
1447758032 | Crs Eyecare Services, Inc. | Clinic/Center | 112 Rutledge Ave Ste A, Charleston, SC 29401-1333 | 2018-01-29 |
1316477060 | Lake City Medical Associates 2017, LLC | Clinic/Center | 130 S Acline St, Lake City, SC 29560-2633 | 2017-06-15 |
1417483355 | New Beginnings Health Services | Clinic/Center | 176 Dermis Ave, Hardeeville, SC 29927-4161 | 2017-05-11 |
1669919007 | Hypertension and Diabetes Prevention and Treatment Center Inc | Clinic/Center | 1812 Malden Drive, Hdpt Center Inc, Florence, SC 29505-3128 | 2017-01-24 |
1093262511 | Quad/med, LLC | Clinic/Center | 224a Harbor Freight Rd, Dillon, SC 29536-8501 | 2016-09-01 |
1649623653 | Woods Bay Family Care LLC | Clinic/Center | 128 E Baker St, Olanta, SC 29114-9101 | 2016-07-14 |
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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.