EDISTO REGIONAL HEALTH SERVICES INC. (NPI# 1639475429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639475429 |
| Entity Type | Organization |
| Organization Name | EDISTO REGIONAL HEALTH SERVICES INC. |
| Other Organization Name | RMC PRIMARY CARE EDISTO PRACTICE |
| Practice Address |
1619 Carolina Ave Orangeburg SC 29115-4939 |
| Mailing Address |
Po Box 1245 Orangeburg SC 29116-1245 |
| Practice Telephone | 8035317474 |
| Practice Fax Number | 8035317457 |
| Mailing Telephone | 8033954762 |
| Mailing Fax Number | 8035360998 |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2020-02-26 |
| Authorized Official Name | LIZA M PORTERFIELD (C F O) |
| Authorized Official Telephone | 8033954458 |
| Is Organization Subpart | Y |
| Parent Organization Name | EDISTO REGIONAL HEALTH SERVICES INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
SC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RRMEDICARE | CK8831 | 01 |
| SC | BCBS | 018 | 01 |
| SC | RRMEDICARE | CN8991 | 01 |
| SC | BLUECHOICE | 018 | 01 |
| SC | GP5343 | 05 | |
| SC | RHC217 | 05 | |
| SC | TRICARE | 016 | 01 |
| Other Name | Type Code |
|---|---|
| RMC Primary Care Carolina Ave | Doing Business As Name - Organization |
| RMC Primary Care Edisto Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588943021 | Edisto Regional Health Services Inc. | Clinic/Center | 185 Mcgee St, Bamberg, SC 29003-1154 | 2011-08-16 |
| 1003130956 | Edisto Regional Health Services Inc. | Family Medicine | 498 North Street, Bamberg, SC 29003-1377 | 2010-03-22 |
| 1952350142 | Edisto Regional Health Services Inc. | Family Medicine | 187 Bunch Ford Road, Holly Hill, SC 29059 | 2006-05-08 |
| 1346644119 | Edisto Regional Health Services Inc. | Radiology | 1728 Village Park Dr, Orangeburg, SC 29118-2426 | 2014-10-22 |
| 1548529696 | Edisto Regional Health Services Inc. | Family Medicine | 1750 Village Park Dr, Orangeburg, SC 29118-2457 | 2012-05-10 |
| 1720384514 | Edisto Regional Health Services Inc. | Family Medicine | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2011-01-27 |
| 1841595667 | Edisto Regional Health Services Inc. | Clinic/Center | 4631 Savannah Highway, North, SC 29112-8180 | 2011-01-26 |
| 1598080079 | Edisto Regional Health Services Inc. | Family Medicine | 5073 Carolina Hwy, Denmark, SC 29042-1679 | 2010-03-29 |
| 1366766222 | Edisto Regional Health Services Inc. | Family Medicine | 498 North St, Bamberg, SC 29003-1377 | 2010-03-22 |
| 1225364870 | Edisto Regional Health Services Inc. | Family Medicine | 1619 Carolina Ave, Orangeburg, SC 29115-4939 | 2009-11-02 |
| Street Address |
1619 CAROLINA AVE |
| City | ORANGEBURG |
| State | SC |
| Zip Code | 29115-4939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598721243 | John H Hayden Jr. | Family Medicine | 1619 Carolina Ave, Orangeburg, SC 29115-4939 | 2006-04-21 |
| 1609127075 | Stacy W Weaver | Physician Assistant | 1619 Carolina Ave, Orangeburg, SC 29115-4939 | 2012-09-26 |
| 1659658185 | Melanie Tomeko Sheppard | Physician Assistant | 1619 Carolina Ave, Orangeburg, SC 29115-4939 | 2011-11-11 |
| 1225364870 | Edisto Regional Health Services Inc. | Family Medicine | 1619 Carolina Ave, Orangeburg, SC 29115-4939 | 2009-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306326640 | Orange Cut Rate Drug Store, Inc | General Practice | 1326 Grove Park Dr, Orangeburg, SC 29115 | 2018-08-16 |
| 1821528639 | Shonta Tenisha Westbury | Speech-Language Pathologist | 1890 Dellwood Drive, Orangeburg, SC 29115 | 2017-06-14 |
| 1356870794 | All Your Needs Home Care Services, LLC | Respite Care | 133 Boulevard Street, Orangeburg, SC 29115 | 2017-06-08 |
| 1376090860 | Hanna Bozard | Pharmacist | 332 Stone Wall Jackson Blvd, Orangeburg, SC 29115 | 2016-09-01 |
| 1417309956 | Marian Mitchell Oliver Corp. | Dentist | 939 Jc Calhoun Drive, Orangeburg, SC 29115 | 2016-07-08 |
| 1750766119 | Holly Able | Pharmacist | 332 Stonewall Jackson Blvd., Orangeburg, SC 29115 | 2015-07-28 |
| 1104211234 | Sheryl Durant Singleton | Nurse Practitioner | 1857 Joe S Jeffords Hwy, Orangeburg, SC 29115 | 2015-04-06 |
| 1982012696 | Jeremy Morry Eith | Specialist/Technologist | 300 College Street, Orangeburg, SC 29115 | 2014-07-25 |
| 1629495841 | Kathy Beeks | Registered Nurse | 1550 Carolina Avenue, Carolina Avenue, Orangeburg, SC 29115 | 2014-03-26 |
| 1538509534 | Thomas Charles Haynes Jr. | Audiologist | 1655 Carolina Ave., Orangeburg, SC 29115 | 2013-07-05 |
| Find all providers in zip 29115 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154786960 | R Dale Padgett Md Pa | Clinic/Center | 1727 Villagepark Dr, Orangeburg, SC 29118 | 2015-12-21 |
| 1740592476 | Drs. Williamson & Gillespie, Pa | Clinic/Center | 1175 Cook Rd, Suite 145, Orangeburg, SC 29118-8201 | 2010-07-10 |
| 1720151483 | Robert L Smoak | Clinic/Center | 1739 Village Park Dr, Orangeburg, SC 29118-2475 | 2006-11-17 |
| 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 |
| 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 |
| 1154621829 | Marion Physician Services LLC | Clinic/Center | 108a E Main St, Latta, SC 29565-1617 | 2010-10-28 |
| Find all providers with the same taxonomy | ||||
| City | ORANGEBURG |
| Zip Code | 29115 |
Please comment or provide details below to improve the information on EDISTO REGIONAL HEALTH SERVICES INC..
| 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.