HEALTHSTAT ONSITE CLINIC HORRY COUNTY (NPI# 1740712389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740712389 |
| Entity Type | Organization |
| Organization Name | HEALTHSTAT ONSITE CLINIC HORRY COUNTY |
| Practice Address |
128 Professional Park Dr Suite Healthstat Clinic Conway SC 29526-9260 |
| Mailing Address |
4651 Charlotte Park Dr Suite 300 Charlotte NC 28217-1956 |
| Practice Telephone | 7045296161 |
| Mailing Telephone | 7049355546 |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |
| Authorized Official Name | WARREN HUTTON (COO) |
| Authorized Official Telephone | 7045296161 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
128 PROFESSIONAL PARK DR SUITE HEALTHSTAT CLINIC |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-9260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134642143 | Ashlee Case | Health Educator | 128 Professional Park Dr, Conway, SC 29526-9260 | 2017-07-21 |
| 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 | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074656 | Healthstat Inc Zeus Blvd B | Preventive Medicine | 1170 Boulevard St Ste B, Orangeburg, SC 29115-4359 | 2020-08-19 |
| 1083226476 | Healthstat Inc Grace Management | Preventive Medicine | 951 South Pin Street, Suite 200, Spartanburg, SC 29302 | 2020-08-18 |
| 1033720636 | Healthstat Inc Internet | Preventive Medicine | 1300 Altura Rd, Fort Mill, SC 29708-7055 | 2020-08-17 |
| 1285263822 | Healthstat Onsite Clinic Harsco Rail | Preventive Medicine | 2401 Edmund Hwy, West Columbia, SC 29170-1931 | 2020-04-06 |
| 1134759020 | Healthstat Onsite Clinic Riegel Aiken | Preventive Medicine | 900 Trail Ridge Rd Ste 3, Aiken, SC 29803-7765 | 2020-01-21 |
| 1598315798 | Healthstat Onsite Clinic Zeus Columbia | Preventive Medicine | 115 15th St, Gaston, SC 29053-8260 | 2019-09-19 |
| 1588163463 | Healthstat Onsite Clinic-coats Greer | Preventive Medicine | 8 Shelter Dr, Greer, SC 29650-4818 | 2018-02-07 |
| 1881104529 | Healthstat Onsite Clinic Parkdale Plant 7 | Preventive Medicine | 325 Wilcox Ave, Gaffney, SC 29341-2743 | 2017-10-09 |
| 1629588363 | Healthstat Onsite Clinic Parkdale Plant 40 | Preventive Medicine | 418 Ascauga Lake Rd, Graniteville, SC 29829-3528 | 2017-10-09 |
| 1861938672 | Healthstat Onsite Clinic Santolube | Preventive Medicine | 2155 W Croft Cir, Spartanburg, SC 29302-3078 | 2017-01-18 |
| 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.