SANDHILLS MEDICAL FOUNDATION, INC. (NPI# 1720372949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720372949 |
| Entity Type | Organization |
| Organization Name | SANDHILLS MEDICAL FOUNDATION, INC. |
| Practice Address |
2611 Liberty Hill Rd Camden SC 29020-1871 |
| Mailing Address |
Po Box 366 Mc Bee SC 29101-0366 |
| Practice Telephone | 8433358291 |
| Mailing Telephone | 8433358291 |
| Mailing Fax Number | 8433358731 |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2013-05-17 |
| Authorized Official Name | MR. CHRISTOPHER DIXON (CFO) |
| Authorized Official Telephone | 8433356754 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PTAN | 1881 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922584481 | Sandhills Medical Foundation, Inc. | Clinic/Center | 290 Market Street, Ruby, SC 29741 | 2018-07-17 |
| 1386902542 | Sandhills Medical Foundation, Inc. | Clinic/Center | 205 W Marion St, Kershaw, SC 29067-1412 | 2012-04-25 |
| 1487712923 | Sandhills Medical Foundation, Inc. | Family Medicine | 40 Baldwin Ave., Lugoff, SC 29078-8966 | 2006-12-05 |
| 1912065467 | Sandhills Medical Foundation, Inc. | Family Medicine | 409 E Church St, Jefferson, SC 29718-8701 | 2006-12-05 |
| 1568541597 | Sandhills Medical Foundation, Inc. | Family Medicine | 645 S. 7th Street, Mcbee, SC 29101 | 2006-11-02 |
| 1881158053 | Sandhills Medical Foundation, Inc. | Pharmacy | 205 W Marion St, Kershaw, SC 29067-1412 | 2019-01-22 |
| 1881925501 | Sandhills Medical Foundation, Inc. | Pharmacy | 409 E Church St, Jefferson, SC 29718-8701 | 2010-01-20 |
| Street Address |
2611 LIBERTY HILL RD |
| City | CAMDEN |
| State | SC |
| Zip Code | 29020-1871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659329274 | Kathryn Jayne Stevenson Funderburk | Social Worker | 2611 Liberty Hill Rd, Swcmhc/kershaw Cmhc, Camden, SC 29020-1871 | 2006-05-05 |
| 1811530546 | Shaundra Nicole Pickett | Counselor | 2611 Liberty Hill Rd, Camden, SC 29020-1871 | 2019-10-25 |
| 1306496765 | Stephanie N Benenhaley | Counselor | 2611 Liberty Hill Rd, Camden, SC 29020-1871 | 2019-09-18 |
| 1871151183 | Julie Anne Locklair | Social Worker | 2611 Liberty Hill Rd, Camden, SC 29020-1871 | 2019-06-01 |
| 1346707361 | Michael Singleton | Social Worker | 2611 Liberty Hill Rd, Camden, SC 29020-1871 | 2019-02-26 |
| 1063977254 | Kiley Nelson | Counselor | 2611 Liberty Hill Rd, Camden, SC 29020-1871 | 2019-02-01 |
| 1477050409 | Franklin Fluker | Counselor | 2611 Liberty Hill Rd, Camden, SC 29020-1871 | 2018-04-06 |
| 1578065561 | Cara Bibeault | Social Worker | 2611 Liberty Hill Rd, Camden, SC 29020-1871 | 2018-03-06 |
| 1316476625 | Bertina Lynette Duke | Registered Nurse | 2611 Liberty Hill Rd, Camden, SC 29020-1871 | 2017-06-08 |
| 1669873345 | Cynthia Nicole Bailey | Social Worker | 2611 Liberty Hill Rd, Camden, SC 29020-1871 | 2014-09-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285252940 | Carolina Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 708 Lafayette Ave, Ste 4, Camden, SC 29020 | 2020-07-09 |
| 1205493871 | Kershaw County Board of Disabilities and Special Needs | Early Intervention Provider Agency | 1619 Jefferson Davis Highway, Camden, SC 29020 | 2019-05-20 |
| 1831669415 | Jennifer Dawn Colby | Counselor | 709 Mill Street, Camden, SC 29020 | 2018-11-27 |
| 1164990164 | Camden Oral Surgery & Implant Center | Dentist | 207 E. Dekalb St., Camden, SC 29020 | 2018-11-07 |
| 1730684036 | Speech Haus, LLC | Clinic/Center | 1029 Broadstreet, Suite 3, Kershaw, SC 29020 | 2018-03-28 |
| 1811414675 | Audra Rowell Scott | Registered Nurse | Kershaw County Health Department, 1116 Church Street, Camden, SC 29020 | 2017-08-23 |
| 1386173789 | Robert James Mccarthy | Specialist/Technologist | 410 Chewning Street, Camden, SC 29020 | 2017-06-08 |
| 1902357205 | First Physical Therapy LLC | Clinic/Center | 1114 Mill St, Camden, SC 29020 | 2016-10-21 |
| 1831598846 | Estate of William J Biggins | Dentist | 1015 Fair Street, Camden, SC 29020 | 2014-08-14 |
| 1154748424 | Diane Mcdonald | Registered Nurse | 1611 Church St, Camden, SC 29020 | 2014-03-25 |
| Find all providers in zip 29020 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1891969218 | Project H.o.p.e., Inc. | Clinic/Center | 519-525 West St, Camden, NJ 08103-3529 | 2008-04-16 |
| 1912179953 | Camcare Health Corporation | Clinic/Center | 1820 Van Buren St, Camden, NJ 08104-2282 | 2008-03-31 |
| 1225207780 | Camcare Health Corporation | Clinic/Center | 6th and Erie Street, Camden, NJ 08102 | 2008-02-28 |
| 1952570426 | Camcare Health Corporation | Clinic/Center | 8th and Carl Miller Blvd., Camden, NJ 08104 | 2008-02-28 |
| 1730695305 | The Osborn Family Health Center, Inc. | Clinic/Center | 1601 Haddon Ave, Camden, NJ 08103-3109 | 2017-12-19 |
| 1043754872 | Project H.o.p.e., Inc. | Clinic/Center | 510 Liberty St, Camden, NJ 08104-1112 | 2016-12-13 |
| 1417126970 | Camcare Health Corporation | Clinic/Center | 2610 Federal St, Camden, NJ 08105-1936 | 2008-02-28 |
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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.