Caresouth Carolina, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Bishopville, SC
NPI 1124580865 · NPPES record last updated Jun 11, 2019
Key facts
- NPI
- 1124580865
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- CARESOUTH CAROLINA, INC.
- Practice address
- 101 Harris St
Bishopville, SC 29010-1601 - Phone
- (803) 588-7940
- Fax
- (803) 588-7945
- NPI assigned
- Apr 2, 2019
- Organization subpart
- No
Authorized official
- Name
- Ann M Lewis
- Title
- Ceo
- Phone
- (843) 857-0111
Corporate family (same tax ID) 25
National Provider Directory
- Tax ID family
- Caresouth Carolina Inc
Locations
101 Harris St
Bishopville, SC 29010
Phone (803) 484-6041
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
101 Harris St
Bishopville, SC 29010-1601
Mailing address
101 Harris St
Bishopville, SC 29010-1601
Phone (803) 588-7940
Other providers in Bishopville, SC
- Kiya N Brown
- Tracey Brown Buddin
- Jacquelyn L. Burgess
- Caresouth
- Caresouth Carolina, Inc
- Carlyle Senior Care of Bishopville,LLC
- Shanta Latrice Chester
- Kaitlyn Beard Coker
- Jo Ellen S Coleman
- Communi-Pro,LLC
All providers in Bishopville, SC · Federally Qualified Health Center (FQHC) in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.