SANDHILLS MEDICAL FOUNDATION, INC. (NPI# 1912065467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912065467 |
| Entity Type | Organization |
| Organization Name | SANDHILLS MEDICAL FOUNDATION, INC. |
| Practice Address |
409 E Church St Jefferson SC 29718-8701 |
| Mailing Address |
Po Box 366 Mc Bee SC 29101-0366 |
| Practice Telephone | 8436583005 |
| Practice Fax Number | 8436587780 |
| Mailing Telephone | 8436583005 |
| Mailing Fax Number | 8436587780 |
| Enumeration Date | 2006-12-05 |
| 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 |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | SC | Allopathic & Osteopathic Physicians | |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
SC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | FQC022 | 05 |
| 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 |
| 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 |
| 1720372949 | Sandhills Medical Foundation, Inc. | Clinic/Center | 2611 Liberty Hill Rd, Camden, SC 29020-1871 | 2011-06-06 |
| 1881925501 | Sandhills Medical Foundation, Inc. | Pharmacy | 409 E Church St, Jefferson, SC 29718-8701 | 2010-01-20 |
| Street Address |
409 E CHURCH ST |
| City | JEFFERSON |
| State | SC |
| Zip Code | 29718-8701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881925501 | Sandhills Medical Foundation, Inc. | Pharmacy | 409 E Church St, Jefferson, SC 29718-8701 | 2010-01-20 |
| 1659602506 | Nigel E. Taylor | Family Medicine | 409 E Church St, Jefferson, SC 29718-8701 | 2010-01-15 |
| 1861722076 | Nneka Onwuteaka | Pharmacist | 409 E Church St, Jefferson, SC 29718-8701 | 2010-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982214763 | Kempo Corporation | Clinical Medical Laboratory | 6096 Highway 151, Jefferson, SC 29718-5813 | 2020-08-05 |
| 1669630406 | Diane M Price | Durable Medical Equipment & Medical Supplies | 109 Sandhills Vfd Rd, Jefferson, SC 29718-8683 | 2008-05-29 |
| 1215061437 | Crystal Antrease Maxwell | Family Medicine | 409 East Church Street, Jefferson, SC 29718-8701 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922904 | Hayley Allen | Pharmacist | 2667 Maple Rd, Jefferson, OH 44047-9751 | 2020-11-06 |
| 1619574753 | Jean Carolyn Sheffield | Home Health Aide | 2770 Sylvia Ave, Jefferson, OH 44047-9774 | 2020-10-01 |
| 1346857463 | Jefferson Counseling, LLC | Counselor | 20 Lee St Ste 5, Jefferson, GA 30549-6327 | 2020-09-24 |
| 1982214763 | Kempo Corporation | Clinical Medical Laboratory | 6096 Highway 151, Jefferson, SC 29718-5813 | 2020-08-05 |
| 1245858323 | Jamie Anne Taylor | Massage Therapist | 3511 River Rd Ste B, Jefferson, LA 70121-4162 | 2020-07-06 |
| 1861019739 | Thomas R. Dupree Jr. | Nurse Practitioner | 321 Brooks, Jefferson, TX 75657-4443 | 2020-06-26 |
| 1750908620 | Tammy K Dupree | Nurse Practitioner | 321 Brooks # 321, Jefferson, TX 75657-4443 | 2020-06-26 |
| 1851917710 | Lux Psychiatry, Pllc | Psychiatry & Neurology | 101 Colvard Street, Jefferson, NC 28640 | 2020-06-17 |
| 1831714187 | Danielle Rowe | Dentist | 1363 Pendergrass Rd, Jefferson, GA 30549-3054 | 2020-06-12 |
| 1962027425 | Melody Johnson | Social Worker | 2401 Audubon Trce, Jefferson, LA 70121-1554 | 2020-06-10 |
| Find all providers in JEFFERSON | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659567337 | East Texas Border Health Clinic | Clinic/Center | 106 N Alley Street, Jefferson, TX 75657-1408 | 2007-09-17 |
| 1538411921 | Access Health Louisiana | Clinic/Center | 240 Riverdale Dr, Jefferson, LA 70121-3507 | 2012-10-09 |
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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.