Organization Active NPI

Sentinel Health Partners, PA

  • Clinical Medical Laboratory
  • Camden, SC
National Provider Identifier
1184989840
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
42D0248605 Issued in SC
Legal business name
SENTINEL HEALTH PARTNERS, PA
Practice address
1344 Haile St
Camden, SC 29020-3076
Phone
(803) 432-1996
NPI assigned
Jul 9, 2012
Organization subpart
Yes
Parent organization
SENTINEL HEATH PARTNERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 12, 2014

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

Authorized official

Name
Kim Bray
Title
Director, I.T.
Phone
(803) 713-8350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 42D0248605 SC Primary

Addresses

Primary practice location

1344 Haile St
Camden, SC 29020-3076

Mailing address

PO Box 1259
Camden, SC 29021-1259

Other identifiers 3

IdentifierTypeStateIssuer
002OtherBCBS OF SC
GP1679MedicaidSC
0001OtherSCPTAN

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D0248605Musc Health Primary Care Haile Street1344 Haile Street, Camden, SC 29020Provider-performed microscopyJun 23, 2028

National Provider Directory

National Provider Directory
Part of
Sentinel Health Partner

Locations

2689 Highway 1 S
Elgin, SC 29045
Phone (803) 438-7698

1165 Highway 1 S
Ste 400
Lugoff, SC 29078
Phone (803) 408-3262

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1184989840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1259",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290211259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 HAILE ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290203076",
            "telephone_number": "803-432-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTINEL HEALTH PARTNERS, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENTINEL HEATH PARTNERS",
        "enumeration_date": "2012-07-09",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "BRAY",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "DIRECTOR, I.T.",
        "authorized_official_telephone_number": "803-713-8350"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "SC",
            "license": "42D0248605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF SC",
            "identifier": "002",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1679",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "0001",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.