Medical Center of Santee LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

MEDICAL CENTER OF SANTEE LLC

Practice address

500 Bass Drive
Santee, SC 29142

Phone

(803) 854-3805

Fax

(803) 854-3810

NPI assigned

Aug 3, 2006

Last updated

Aug 26, 2014By 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

Dr. Monnie Singleton, MD

Title

Manager

Phone

(803) 535-3600

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114935475. Details of each certification follow.

• CCN 428986 Rural health clinic · Active · Details

Rural health clinic certification: CCN 428986

Legal name

MEDICAL CENTER OF SANTEE LLC

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Sep 5, 2007

Last certification

Mar 13, 2023

Ownership / control type

1B

Organization structure

LLCProprietary

Incorporated

Mar 29, 2006 in SC

Enrollment address

500 Bass Dr
Santee, SC 29142-8886

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Monnieque Singleton, MD

  • Family Medicine Physician
  • Orangeburg, SC
  • NPI 1336193713

  5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee

  CMS ownership

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Singleton Health Center LLC

  dba True Vine Health Services, Inc

  • Rural Health Clinic/Center
  • Orangeburg, SC
  • NPI 1649253212

  Rural Health Management LLC

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Monnieque Singleton, MD

  • Family Medicine Physician
  • Orangeburg, SC
  • NPI 1336193713
  Medicare reassignment NPD
• Ella M Wright, NP

  • Family Nurse Practitioner
  • Orangeburg, SC
  • NPI 1891170007
  Medicare reassignment NPD

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1114935475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BASS DRIVE",
            "city": "SANTEE",
            "state": "SC",
            "postal_code": "29142",
            "telephone_number": "803-854-3805",
            "fax_number": "803-854-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BASS DRIVE",
            "city": "SANTEE",
            "state": "SC",
            "postal_code": "29142",
            "telephone_number": "803-854-3805",
            "fax_number": "803-854-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER OF SANTEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "SINGLETON",
        "authorized_official_first_name": "MONNIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "803-535-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4482",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHC172",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick William Leonard, D.C.
• Deana Lewis, PHARMD
• Living Life Easy Home Care, LLC
• Molly McCrary Lukens
• Management Services of Santee
• Janeshia Middleton
• Morgan Moorer, RN
• Evelyn Frances Murphy, LMT
• Palmetto Eye Associates (santee eye clinic)
• Piggly Wiggly Mideast Inc (Sup-Rx Pharmacy)

• Rural Health Clinic/Center in Santee, SC
• Providers in Santee, 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 Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.