ST MARYS HCA OF SOUTH CAROLINA


Address: 2603 Cumberland Gap Drive, Suite 203, Fayetteville, NC 28306
Phone: 9109784560

ST MARYS HCA OF SOUTH CAROLINA (NPI# 1942687900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942687900
Entity Type Organization
Organization Name ST MARYS HCA OF SOUTH CAROLINA
Practice Address 2603 Cumberland Gap Drive
Suite 203
Fayetteville
NC 28306
Practice Telephone 9109784560
Mailing Telephone 9109784560
Enumeration Date 2015-04-29
Last Update Date 2015-04-29
Authorized Official Name MRS. LATOYA GRANT RHONE (CEO)
Authorized Official Telephone 9109784560
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Office Location

Street Address 2603 CUMBERLAND GAP DRIVE
SUITE 203
City FAYETTEVILLE
State NC
Zip Code 28306

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1649696204 Kathryn Dries Nurse Practitioner 7496 Rockfish Road, Fayetteville, NC 28306 2014-03-06
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1740535715 Harris Teeter, LLC Pharmacy 3050 Traemoor Village Dr, Fayetteville, NC 28306 2012-07-17
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

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).

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1023500725 Greenbrook Tms Fayetteville LLC Clinic/Center 1991 Fordham Dr Ste 202, Fayetteville, NC 28304-3774 2018-05-30
1871013367 Shiloh Health and Longevity Clinic/Center 1794 E Joyce Blvd Ste 1, Fayetteville, AR 72703-5257 2017-06-26
1407017965 Correctiona Medical Associates Clinic/Center 205 Mcintosh Place Dr, Fayetteville, GA 30214-7384 2008-06-18
1376728154 Massage Therapeutics, Inc Center for Wellness Clinic/Center 500 Lanier Ave W Ste 411, Fayetteville, GA 30214-7638 2007-12-30
1578767299 Kidzplex Fitness Clinic/Center 1830q Owen Dr, Fayetteville, NC 28304-3421 2007-06-14
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1932202447 Appalachian Regional Healthcare Clinic/Center 436 Elizabeth Way, Fayetteville, WV 25840 2006-09-07
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Competitor

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City FAYETTEVILLE
Zip Code 28306

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Dataset Information

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.

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