NPIMap

Organization Active NPI

Palmetto Health

Doing business as Medical Fragile Children's Program Easley

  • Medical Specialty Clinic/Center
  • Easley, SC
National Provider Identifier
1043391048
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
PALMETTO HEALTH
Doing business as
Medical Fragile Children's Program Easley
Practice address
Palmetto Health
200 Fleetwood Drive
Easley, SC 29640
Phone
(803) 296-2548
Fax
(803) 296-3040
NPI assigned
Oct 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Thomas B Eckert
Title
Director of PFS
Phone
(803) 296-2545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X SC Primary

Addresses

Primary practice location

Palmetto Health
200 Fleetwood Drive
Easley, SC 29640

Mailing address

Palmetto Health
1807A East Main Street
Easley, SC 29640
Phone (803) 296-2548

Other names 1

  • Medical Fragile Children's Program Easley Doing business as

National Provider Directory

National Provider Directory
Tax ID family
South Hampton Family Prac105 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043391048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PALMETTO HEALTH",
            "address_2": "1807A EAST MAIN STREET",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "29640",
            "telephone_number": "803-296-2548",
            "fax_number": "803-296-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PALMETTO HEALTH",
            "address_2": "200 FLEETWOOD DRIVE",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "29640",
            "telephone_number": "803-296-2548",
            "fax_number": "803-296-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ECKERT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR OF PFS",
        "authorized_official_telephone_number": "803-296-2545"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Fragile Children's Program Easley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Easley, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.