CARESOUTH CAROLINA, INC. (NPI# 1811930076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811930076 |
| Entity Type | Organization |
| Organization Name | CARESOUTH CAROLINA, INC. |
| Practice Address |
3080 Highway 15-401 E Mc Coll SC 29570-6128 |
| Mailing Address |
Po Box 1090 Hartsville SC 29551-1090 |
| Practice Telephone | 8435235751 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2019-06-17 |
| Authorized Official Name | ANN LEWIS (CEO) |
| Authorized Official Telephone | 8438570111 |
| 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 | FQC063 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285290270 | Caresouth Carolina, Inc. | Clinic/Center | 810 Brown St Ste 1, Bishopville, SC 29010-1176 | 2019-05-15 |
| 1780627943 | Caresouth Carolina, Inc. | Clinic/Center | 103 Kemper Street, Lake View, SC 29563 | 2006-06-14 |
| 1720082571 | Caresouth Carolina, Inc. | Clinic/Center | 1268 S 4th St, Hartsville, SC 29550-0703 | 2005-06-09 |
| 1124580865 | Caresouth Carolina, Inc. | Dentist | 101 Harris St, Bishopville, SC 29010-1601 | 2019-04-02 |
| 1306378773 | Caresouth Carolina, Inc. | Nursing Care | 715 S Doctors Dr, Suite E, Cheraw, SC 29520-7113 | 2017-04-03 |
| Street Address |
3080 HIGHWAY 15-401 E |
| City | MC COLL |
| State | SC |
| Zip Code | 29570-6128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770143281 | Caresouth Carolina Inc | Pharmacy | 3080 Highway 15-401 E, Mc Coll, SC 29570-6128 | 2019-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720326788 | Comfort Home Care Inc | Home Health | 201b S Main St # B, Mc Coll, SC 29570-2020 | 2013-01-26 |
| 1528443330 | Community Home Care LLC | In Home Supportive Care | 201b S Main St # B, Mc Coll, SC 29570-2020 | 2015-07-22 |
| 1487073219 | Earline Little | Nurse Practitioner | 225 S Main St, Mc Coll, SC 29570-2020 | 2014-04-09 |
| 1760634414 | Elizabeth Brown | Social Worker | 225 S Main St, Mc Coll, SC 29570-2020 | 2008-10-14 |
| 1518070531 | Sylvia Mckoy Watts | Nurse Practitioner | 225 S Main St, Mc Coll, SC 29570-2020 | 2006-08-16 |
| 1457464554 | George Moore | Family Medicine | 225 S Main St, Mc Coll, SC 29570-2020 | 2006-08-16 |
| 1982680609 | Kevin A Jasinski | Dentist | 103 East Tatum Avenue, Mccoll, SC 29570-2323 | 2005-12-15 |
| 1427032424 | Philip Lin Benton | Dentist | 103 E Tatum Ave, Mc Coll, SC 29570-2323 | 2005-12-02 |
| 1033762323 | Joshua David Pollack | Dentist | 103 E Tatum Ave, Mc Coll, SC 29570-2323 | 2019-07-17 |
| 1770006462 | Matthew Thompson | Dentist | 103 E Tatum Ave, Mc Coll, SC 29570-2323 | 2017-07-25 |
| Find all providers in zip 29570 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 1124627153 | Hopehealth Inc | Clinic/Center | 2155 Paxville Hwy, Manning, SC 29102-5074 | 2020-10-21 |
| 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.