STATE OF SOUTH CAROLINA (NPI# 1659457778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659457778 |
| Entity Type | Organization |
| Organization Name | STATE OF SOUTH CAROLINA |
| Other Organization Name | HORRY COUNTY HEALTH DEPARTMENT |
| Practice Address |
1931 Industrial Park Rd Conway SC 29526-5482 |
| Mailing Address |
1751 Calhoun St Columbia SC 29201-2606 |
| Practice Telephone | 8432481500 |
| Mailing Telephone | 8038980288 |
| Mailing Fax Number | 8038981255 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2013-04-12 |
| Authorized Official Name | MRS. BETTY H GARREN (DIRECTOR, THIRD PARTY ADMINISTRATIO) |
| Authorized Official Telephone | 8038983720 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | SELECT HEALTH PROVIDER # | 601253 | 01 |
| SC | DHEC26 | 05 | |
| SC | UNISON HEALTH PLAN OF SC | 000000155827 | 01 |
| Other Name | Type Code |
|---|---|
| Horry County Health Department | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972651503 | State of South Carolina | Community/Behavioral Health | 101 Executive Center Dr, Suite 215, Columbia, SC 29210-8411 | 2007-01-08 |
| 1407913874 | State of South Carolina | Clinical Medical Laboratory | 8231 Parklane Rd, Columbia, SC 29223-4903 | 2007-01-03 |
| 1902975733 | State of South Carolina | Public Health or Welfare | 206 Airport Ct, Suite B, Mullins, SC 29574-6196 | 2006-11-07 |
| 1184793929 | State of South Carolina | Public Health or Welfare | 711 S Parsonage St, Bennettsville, SC 29512-4423 | 2006-11-07 |
| 1033295035 | State of South Carolina | Public Health or Welfare | 1736 S Main St, Greenwood, SC 29646-4124 | 2006-10-31 |
| 1699851667 | State of South Carolina | Public Health or Welfare | 810 Brown Street, Bishopville, SC 29010 | 2006-10-31 |
| 1114003530 | State of South Carolina | Public Health or Welfare | 1136 Kincaid Bridge Road, Winnsboro, SC 29180 | 2006-10-27 |
| 1841375128 | State of South Carolina | Public Health or Welfare | 1070 S Lake Dr, Suite B, Lexington, SC 29073-3701 | 2006-10-26 |
| 1962587212 | State of South Carolina | Public Health or Welfare | 609 N Townville St, Seneca, SC 29678-2642 | 2006-10-26 |
| 1497830392 | State of South Carolina | Public Health or Welfare | 203 North Page Street, Chesterfield, SC 29709 | 2006-10-26 |
| Street Address |
1931 INDUSTRIAL PARK RD |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-5482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629049382 | Jill E Michael | Nurse Practitioner | 1931 Industrial Park Rd, Conway, SC 29526-5645 | 2006-01-31 |
| 1588263461 | Phyllis W Douglas | Registered Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2020-10-21 |
| 1265045777 | Stefania Serianni | Registered Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2020-08-25 |
| 1427677863 | Amanda Mcdowell | Registered Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2020-04-15 |
| 1881230464 | Debra Todd | Licensed Practical Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2019-11-19 |
| 1508401555 | Emily Goad Atkinson | Registered Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2019-11-14 |
| 1790338614 | Susan B Metallo | Registered Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2019-07-19 |
| 1376103564 | Jeana Nicole Richardson | Registered Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2019-06-19 |
| 1124684733 | Debra L. Toomey | Registered Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2019-05-20 |
| 1982174983 | Kelly Ann Ryder | Registered Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2018-12-03 |
| Find all providers in the same location | ||||
| 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 | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669643672 | South Carolina Dhec | Public Health or Welfare | 1931 Industrial Park Rd., Conway, SC 29526 | 2008-03-18 |
| 1427112226 | South Carolina Dhec | Public Health or Welfare | 2830 Oak St, Conway, SC 29526-4560 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922613090 | Healing Mentors for Christ Inc. | Public Health or Welfare | 605 Haymount Rd, Latta, SC 29565-5306 | 2020-09-15 |
| 1356977417 | Virtual Training and Development Solutions, LLC. | Public Health or Welfare | 716 E Fairfield Rd Ste 111, Greenville, SC 29605-3688 | 2020-03-19 |
| 1770127797 | Mobile Healthcare Services LLC. | Public Health or Welfare | 15 Olde Springs Rd, Columbia, SC 29223-6002 | 2019-11-01 |
| 1295379790 | Aiken Pest Control, Inc. | Public Health or Welfare | 2739 Wagener Rd, Aiken, SC 29801-8127 | 2019-10-29 |
| 1558918730 | Abby's Home Care and Staffing LLC | Public Health or Welfare | 1801 W Evans St Ste D107, Florence, SC 29501-3376 | 2019-08-21 |
| 1861047706 | Families First Always | Public Health or Welfare | 1717 Gervais St # 104, Columbia, SC 29201-3415 | 2019-08-07 |
| 1821557000 | Anderson County Disabilities and Special Needs Board | Public Health or Welfare | 212 Mcgee Rd, Anderson, SC 29625-2104 | 2019-03-18 |
| 1942732433 | Yourchoice Healthcare LLC | Public Health or Welfare | 34 Katherine Park Ct, Columbia, SC 29206-4493 | 2017-04-03 |
| 1508278151 | Newberry County Disabilities and Special Needs Board | Public Health or Welfare | 2600 Holloway St, Newberry, SC 29108-4500 | 2014-05-29 |
| 1124445176 | Trina Caughman | Public Health or Welfare | 2221 Highway 178, Swansea, SC 29160-8649 | 2014-03-27 |
| 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.