NPIMap

Organization Active NPI

Iasis Center

  • Specialist
  • Myrtle Beach, SC
National Provider Identifier
1225380702
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MAS . 8158 Issued in NU
Legal business name
IASIS CENTER
Practice address
514 Alder St
Suite 6
Myrtle Beach, SC 29577-3854
Phone
(843) 902-4863
NPI assigned
Oct 9, 2012
Last updated
Oct 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Authorized official

Name
Mrs. Betty Jean LawrenceNPI 1437401916
Title
Owner
Phone
(843) 902-4863

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
Specialist 174400000X MAS . 8158 NU Primary

Addresses

Primary practice location

514 Alder St
Suite 6
Myrtle Beach, SC 29577-3854

Mailing address

514 Alder St
Suite 6
Myrtle Beach, SC 29577-3854
Phone (843) 902-4863

National Provider Directory

National Provider Directory

Locations

514 Alder St
Ste 6
Myrtle Beach, SC 29577
Phone (843) 902-4863

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1225380702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 ALDER ST",
            "address_2": "SUITE 6",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295773854",
            "telephone_number": "843-902-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 ALDER ST",
            "address_2": "SUITE 6",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295773854",
            "telephone_number": "843-902-4863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IASIS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-09",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-902-4863",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": "MAS . 8158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.