Organization Active NPI

Florence Womens Health

  • Clinic/Center
  • Florence, SC
National Provider Identifier
1124201876
Registry record updated Aug 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FLORENCE WOMENS HEALTH
Practice address
901 E Cheves St Ste 360
Florence, SC 29506-2769
Phone
(843) 678-9994
Fax
(843) 679-5515
NPI assigned
Dec 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2010

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

Authorized official

Name
Dr. Anu ChaudhryNPI 1568517407
Title
Owner
Phone
(843) 678-9994

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

901 E Cheves St Ste 360
Florence, SC 29506-2769

Mailing address

901 E Cheves St Ste 360
Florence, SC 29506-2769
Phone (843) 678-9994

Other identifiers 2

IdentifierTypeStateIssuer
187513MedicaidSC
GP3434MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140110000189 SC Part B Supplier - Clinic/Group Practice 9830327246 Receives reassigned benefits from 2 practitioners
Practice locations: Florence, SC

National Provider Directory

National Provider Directory

Locations

101 William H Johnson St
Ste 360
Florence, SC 29506
Phone (843) 678-9994

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280707200000",
    "number": "1124201876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E CHEVES ST STE 360",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062769",
            "telephone_number": "843-678-9994",
            "fax_number": "843-679-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E CHEVES ST STE 360",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062769",
            "telephone_number": "843-678-9994",
            "fax_number": "843-679-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE WOMENS HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2010-08-02",
        "status": "A",
        "authorized_official_last_name": "CHAUDHRY",
        "authorized_official_first_name": "ANU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-678-9994",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187513",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3434",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.