LOW COUNTRY HEALTH CARE SYSTEM (NPI# 1578659942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578659942 |
| Entity Type | Organization |
| Organization Name | LOW COUNTRY HEALTH CARE SYSTEM |
| Other Organization Name | BARNWELL FAMILY MEDICINE |
| Practice Address |
86 Wren St. Barnwell SC 29812 |
| Mailing Address |
P.o. Box 990 333 Revolutionary Trail Fairfax SC 29827 |
| Practice Telephone | 8032595762 |
| Practice Fax Number | 8032593050 |
| Mailing Telephone | 8036322533 |
| Mailing Fax Number | 8036322451 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2016-03-18 |
| Authorized Official Name | ASHELY BARNES (CEO) |
| Authorized Official Telephone | 8036322533 |
| Is Organization Subpart | Y |
| Parent Organization Name | LOW COUNTRY HEALTH CARE SYSTEM, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
========= | SC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | FQC078 | 05 |
| Other Name | Type Code |
|---|---|
| Barnwell Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215410667 | Low Country Health Care System | Clinic/Center | 19340 Solomon Blatt Ave N, Blackville, SC 29817-2304 | 2018-09-12 |
| 1386717296 | Low Country Health Care System | Clinic/Center | 1857 Joe Jeffords Highway, Orangeburg, SC 29115 | 2006-11-16 |
| 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 |
86 WREN ST. |
| City | BARNWELL |
| State | SC |
| Zip Code | 29812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083004311 | Candace Carol Kirby | Nurse Practitioner | 86 Wren St., Barnwell, SC 29812 | 2015-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265952261 | Heritage Healthcare System | Clinic/Center | 914 Reynolds Road, Barnwell, SC 29812 | 2017-06-21 |
| 1417335340 | Colleen Goodwin | Counselor | 1644 Jackson Street, Barnwell, SC 29812 | 2015-05-12 |
| 1205246550 | Lenzie Beasley Brant | Counselor | 916 Reynolds Road, Barnwell, SC 29812 | 2014-05-07 |
| 1366864902 | Janelle Pruett Beasley | Psychologist | 770 Hagood Ave, Barnwell, SC 29812 | 2014-01-16 |
| 1033419247 | Adrian Miller | Speech-Language Pathologist | 445 Calhoun St, Barnwell, SC 29812 | 2010-10-22 |
| 1346386802 | Joel Curtis Greene Jr. | Chiropractor | 11022 Ellenton Street, Barnwell, SC 29812 | 2007-01-30 |
| 1164598165 | Martin Layne Shealy | Chiropractor | 76 Irving Street, Barnwell, SC 29812 | 2006-11-28 |
| 1447331822 | State of South Carolina | Public Health or Welfare | 11015 Ellenton Street, Hwy 278, Barnwell, SC 29812 | 2006-10-18 |
| 1891804928 | Dca of Barnwell LLC | Clinic/Center | 10708 Marlboro Avenue, Barnwell, SC 29812 | 2006-08-30 |
| 1386668648 | Vickie Glover | Physician Assistant | 86 Wren Street, Barnwell, SC 29812 | 2006-07-27 |
| Find all providers in zip 29812 | ||||
| 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 |
|---|---|---|---|---|
| 1962442244 | Low Country Health Care System | Clinic/Center | 10706 Marlboro Avenue, Barnwell, SC 29812-1529 | 2006-06-07 |
| 1780112912 | Low Country Health Care System | Clinic/Center | 124 Wren St, Barnwell, SC 29812-1527 | 2017-06-01 |
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|---|---|---|---|---|
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| 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 |
| 1215410667 | Low Country Health Care System | Clinic/Center | 19340 Solomon Blatt Ave N, Blackville, SC 29817-2304 | 2018-09-12 |
| 1922584481 | Sandhills Medical Foundation, Inc. | Clinic/Center | 290 Market Street, Ruby, SC 29741 | 2018-07-17 |
| 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.