NPIMap

Organization Active NPI

Low Country Health Care System Mobile Health Services

  • Federally Qualified Health Center (FQHC)
  • Blackville, SC
National Provider Identifier
1114743176
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
LOW COUNTRY HEALTH CARE SYSTEM MOBILE HEALTH SERVICES
Practice address
130 Baker St N
Blackville, SC 29817-2426
Phone
(803) 284-1045
NPI assigned
Nov 25, 2024
Organization subpart
Yes
Parent organization
LOW COUNTRY HEALTH CARE SYSTEMAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Dr. Ashley Barnes
Title
Chief Executive Officer
Phone
(803) 632-2533

Corporate family (same tax ID) 8

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
Low Country Health Care System Inc (9 organizations share this tax ID)
Part of
Low Country Health Care System Inc

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

NPPES NPI Registry

Primary practice location

130 Baker St N
Blackville, SC 29817-2426

Mailing address

130 Baker St N
Blackville, SC 29817-2426
Phone (803) 284-1045

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 25, 2024.

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1114743176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 BAKER ST N",
            "city": "BLACKVILLE",
            "state": "SC",
            "postal_code": "298172426",
            "telephone_number": "803-284-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 BAKER ST N",
            "city": "BLACKVILLE",
            "state": "SC",
            "postal_code": "298172426",
            "telephone_number": "803-284-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOW COUNTRY HEALTH CARE SYSTEM MOBILE HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOW COUNTRY HEALTH CARE SYSTEM",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "803-632-2533",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blackville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.