DCA OF BARNWELL LLC (NPI# 1891804928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891804928 |
Entity Type | Organization |
Organization Name | DCA OF BARNWELL LLC |
Practice Address |
10708 Marlboro Avenue Barnwell SC 29812 |
Mailing Address |
Po Box 713158 Cincinnati OH 45271-3158 |
Practice Telephone | 8305417225 |
Mailing Telephone | 7177309701 |
Mailing Fax Number | 7177306223 |
Enumeration Date | 2006-08-30 |
Last Update Date | 2010-06-14 |
Authorized Official Name | MR. THOMAS L WEINBERG (VICE PRESIDENT & SECRETARY) |
Authorized Official Telephone | 2147362732 |
Is Organization Subpart | Y |
Parent Organization Name | U S RENAL CARE INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
ERD-179 | SC | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | ERD179 | 05 |
Street Address |
10708 MARLBORO AVENUE |
City | BARNWELL |
State | SC |
Zip Code | 29812 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265952261 | Heritage Healthcare System | Clinic/Center | 914 Reynolds Road, Barnwell, SC 29812 | 2017-06-21 |
1417335340 | Colleen Goodwin | Counselor | 1644 Jackson Street, Barnwell, SC 29812 | 2015-05-12 |
1205246550 | Lenzie Beasley Brant | Counselor | 916 Reynolds Road, Barnwell, SC 29812 | 2014-05-07 |
1366864902 | Janelle Pruett Beasley | Psychologist | 770 Hagood Ave, Barnwell, SC 29812 | 2014-01-16 |
1033419247 | Adrian Miller | Speech-Language Pathologist | 445 Calhoun St, Barnwell, SC 29812 | 2010-10-22 |
1346386802 | Joel Curtis Greene Jr. | Chiropractor | 11022 Ellenton Street, Barnwell, SC 29812 | 2007-01-30 |
1164598165 | Martin Layne Shealy | Chiropractor | 76 Irving Street, Barnwell, SC 29812 | 2006-11-28 |
1447331822 | State of South Carolina | Public Health or Welfare | 11015 Ellenton Street, Hwy 278, Barnwell, SC 29812 | 2006-10-18 |
1578659942 | Low Country Health Care System | Clinic/Center | 86 Wren St., Barnwell, SC 29812 | 2006-10-05 |
1386668648 | Vickie Glover | Physician Assistant | 86 Wren Street, Barnwell, SC 29812 | 2006-07-27 |
Find all providers in zip 29812 |
Taxonomy Code | 261QE0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | End-Stage Renal Disease (ESRD) Treatment |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669434775 | Dva Healthcare Renal Care Inc | Clinic/Center | 914 Reynolds Rd, Barnwell, SC 29812-6358 | 2006-04-04 |
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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.