ABBEVILLE COUNTY MEMORIAL HOSPITAL (NPI# 1467825166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467825166 |
| Entity Type | Organization |
| Organization Name | ABBEVILLE COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | DUE WEST FAMILY MEDICINE |
| Practice Address |
6 College St Due West SC 29639-9554 |
| Mailing Address |
Po Box 887 Abbeville SC 29620-0887 |
| Practice Telephone | 8643792345 |
| Practice Fax Number | 8643793228 |
| Mailing Telephone | 8643663395 |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2020-08-26 |
| NPI Deactivation Date | 06/02/2020 |
| NPI Reactivation Date | 2020-08-25 |
| Authorized Official Name | MR. LUCIEN ST. ONGE (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8643663289 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RHC240 | 05 |
| Other Name | Type Code |
|---|---|
| Due West Family Medicine | Doing Business As Name - Organization |
| 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 |
| 1063449361 | Abbeville County Memorial Hospital | Pharmacy | 420 Thomson Cir, Abbeville, SC 29620 | 2006-06-26 |
| 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 |
| Street Address |
6 COLLEGE ST |
| City | DUE WEST |
| State | SC |
| Zip Code | 29639-9554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811972672 | Due West Family Medicine | Family Medicine | 6 College St, Due West, SC 29639-9554 | 2005-12-14 |
| 1164969341 | Amber Taylor | Nurse Practitioner | 6 College St, Due West, SC 29639-9554 | 2017-01-25 |
| 1689048464 | Abbeville County Memorial Hospital | Family Medicine | 6 College St, Due West, SC 29639-9554 | 2015-11-17 |
| 1265508550 | Due West Family Medicine Pa | Clinic/Center | 6 College St, Due West, SC 29639 | 2006-11-28 |
| 1124005541 | Alanna E Angel | Family Medicine | 6 College St, Due West, SC 29639-9554 | 2005-12-28 |
| 1780669564 | Brian N Henry | Family Medicine | 6 College St, Due West, SC 29639-9554 | 2005-12-14 |
| 1629053400 | Karen E Leslie | Family Medicine | 6 College St, Due West, SC 29639-9554 | 2005-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992288021 | Anna Faith Smith | Specialist/Technologist | Erskine College, 2 Washington St., Due West, SC 29639 | 2018-09-14 |
| 1316382625 | Bridgette Sanders | Technician | 40 Carver Extension, Due West, SC 29639 | 2013-05-01 |
| 1861711004 | Jane Poston Dean | Physical Therapist | 18 Frank Pressly Drive, Covenant Way, Due West, SC 29639 | 2010-05-27 |
| 1386889244 | Callie J Turner | Family Medicine | 6 College St., Due West Family Medicine, Due West, SC 29639 | 2008-12-08 |
| 1336266998 | Hannah Speer | Occupational Therapy Assistant | 18 Frank Pressley Dr, Due West, SC 29639 | 2007-03-26 |
| 1770549792 | Adam Hayes Weyer | Specialist/Technologist | 2 Washington Street, Due West, SC 29639 | 2006-04-26 |
| 1568427540 | Connie D Abbott | Nurse Practitioner | 6 College Street, Due West Family Medicine, Due West, SC 29639 | 2006-04-20 |
| 1659619211 | Cameron Rickenbaker Hipp | Counselor | 6 College Street, Due West, SC 29639 | 2013-01-16 |
| 1497015184 | Courtney Ashley Burton | Nurse Practitioner | 6 College Street, Due West, SC 29639 | 2012-05-29 |
| 1386953495 | Dori Dahlberg | Nurse Practitioner | 6 College St., Due West, SC 29639 | 2010-10-07 |
| Find all providers in zip 29639 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265508550 | Due West Family Medicine Pa | Clinic/Center | 6 College St, Due West, SC 29639 | 2006-11-28 |
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| 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.