SANTEE FAMILY MEDICAL CENTER, INC (NPI# 1932427168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932427168 |
| Entity Type | Organization |
| Organization Name | SANTEE FAMILY MEDICAL CENTER, INC |
| Other Organization Name | SANTEE FAMILY MEDICAL CENTER |
| Practice Address |
130 Plaza Cir Santee SC 29142-9630 |
| Mailing Address |
Po Box 277 Santee SC 29142-0277 |
| Practice Telephone | 8038543940 |
| Mailing Telephone | 8038543940 |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2010-07-09 |
| Authorized Official Name | DR. GOSSIE C. HEATH MATHIS (MD) |
| Authorized Official Telephone | 8038543940 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 13454 | SC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP0261 | 05 |
| Other Name | Type Code |
|---|---|
| santee family medical center | Former Legal Business Name - Organization |
| Street Address |
130 PLAZA CIR |
| City | SANTEE |
| State | SC |
| Zip Code | 29142-9630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295856557 | Gossie Colette Heath Mathis | Internal Medicine | 130 Plaza Cir, Santee, SC 29142-9630 | 2007-04-03 |
| 1366076747 | Deborah Jenkins | Registered Nurse | 130 Plaza Cir, Santee, SC 29142-9630 | 2020-02-25 |
| 1326217654 | Santee Family Medical Center | Clinic/Center | 130 Plaza Cir, Santee, SC 29142-9630 | 2008-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629312111 | Cvs Pharmacy | Pharmacist | 240 Planters Trace Rd, Santee, SC 29142 | 2012-11-21 |
| 1184861411 | Palmetto Eye Associates | Optometrist | 150 Plaza Circle, Santee, SC 29142 | 2009-01-08 |
| 1285890186 | Santee Family Medical Ctr | Clinic/Center | 309 Santee River Plz, Santee, SC 29142 | 2008-07-31 |
| 1205004520 | Santee Dental Care | Dentist | 190 B Plaza Circle, Santee, SC 29142 | 2008-02-20 |
| 1407032295 | Carolina Cataract Clinic | Ophthalmology | 8799 Old Highway # 6, Santee, SC 29142 | 2008-01-11 |
| 1891854949 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8910 Old Highway 6, Santee, SC 29142 | 2006-12-06 |
| 1114935475 | Medical Center of Santee LLC | Clinic/Center | 500 Bass Drive, Santee, SC 29142 | 2006-08-03 |
| 1821600917 | Melissa Kathryn Cherry | Pharmacist | 8910 Old Highway 6, Santee, SC 29142 | 2020-08-19 |
| 1407040728 | Delores Gregory Hollen | Counselor | 8799 Old Highway #6, Santee, SC 29142 | 2007-08-29 |
| 1467869776 | Vanester Ravenell | Social Worker | 1580 Bass Dr, Santee, SC 29142-0000 | 2014-07-18 |
| Find all providers in zip 29142 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346782869 | Acutheta To Heal | Clinic/Center | 213 River Park Dr Unit 29, Santee, CA 92071-6954 | 2016-11-15 |
| 1285890186 | Santee Family Medical Ctr | Clinic/Center | 309 Santee River Plz, Santee, SC 29142 | 2008-07-31 |
| 1700352176 | American Current Care of California, A Medical Corporation | Clinic/Center | 9745 Prospect Ave Ste 100, Santee, CA 92071-4273 | 2018-10-23 |
| 1326217654 | Santee Family Medical Center | Clinic/Center | 130 Plaza Cir, Santee, SC 29142-9630 | 2008-02-20 |
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| 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.