Partners in Health - Rural Health

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

PARTNERS IN HEALTH - RURAL HEALTH

Doing business as

Laurens Family Practice at Gray Court

Practice address

9100 Highway 14
Gray Court, SC 29645-4152

Phone

(864) 876-4888

Fax

(864) 876-4900

NPI assigned

Aug 11, 2006

Last updated

Mar 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael C Riordan

Title

President/Ceo

Phone

(864) 455-7978

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Laurens Family Practice at Gray Court Doing business as

Locations

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1023029188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PT",
            "address_2": "SUITE 212",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154545",
            "telephone_number": "864-797-6044",
            "fax_number": "864-797-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 HIGHWAY 14",
            "city": "GRAY COURT",
            "state": "SC",
            "postal_code": "296454152",
            "telephone_number": "864-876-4888",
            "fax_number": "864-876-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN HEALTH - RURAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "RIORDAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "864-455-7978",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHC085",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurens Family Practice at Gray Court",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ann Blair Kennedy, LMT, DRPH
• Samuel Nathan Leake, PHARM.D.
• Michael Raymond Meeks, M.D.
• MLC Homecare LLC
• Christopher Todd Nelson, M.D.
• Prisma Health-Upstate (Prisma Health Laurens Family Med-Gray Ct)
• Prisma Health-Upstate (Prisma Health Laurens Family Med-Gray Ct)
• Lindsay Elizabeth Proctor
• Johnna Revis, PTA
• Sam Leake LLC

• Rural Health Clinic/Center in Gray Court, SC
• Providers in Gray Court, SC by specialty
• Rural Health Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.