Richland Community Health Care Association

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

20390 Issued in SC

Legal business name

RICHLAND COMMUNITY HEALTH CARE ASSOCIATION

Practice address

3010 Farrow Rd
Suite 230
Columbia, SC 29203-7607

Phone

(803) 799-1284

Fax

(803) 799-8148

NPI assigned

Jul 24, 2006

Organization subpart

Yes

Parent organization

RICHLAND COMMUNITY HEALTH CARE ASSOCIATION, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Helen Bryson

Title

Ceo

Phone

(803) 799-8407

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• CAROLINA MEDICAL GROUP Other name

Part of

Richland Community Health Care Association

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1013939529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 LAUREL ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012623",
            "telephone_number": "803-799-8407",
            "fax_number": "803-252-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 FARROW RD",
            "address_2": "SUITE 230",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292037607",
            "telephone_number": "803-799-1284",
            "fax_number": "803-799-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHLAND COMMUNITY HEALTH CARE ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RICHLAND COMMUNITY HEALTH CARE ASSOCIATION, INC.",
        "enumeration_date": "2006-07-24",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "BRYSON",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-799-8407",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "SC",
            "license": "20390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FQC030",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4435",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CBP006",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FQC043",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAROLINA MEDICAL GROUP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• William Harrington Richardson III, MD
• Robin Richburg
• Nancy Anne Richeson, M.D.
• Shane Ryan Richey, MD
• Lakisha Toraine Richie, MSW
• Richland County Health Dept
• Richland County School District One
• Richland Physician Services PC
• Richland School District Two
• Richland/Lexington Disabilities and Special Needs Board

• Federally Qualified Health Center (FQHC) in Columbia, SC
• Providers in Columbia, SC by specialty
• Federally Qualified Health Center (FQHC) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.