The Community Health Foundation of Fairfield County

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

THE COMMUNITY HEALTH FOUNDATION OF FAIRFIELD COUNTY

Doing business as

John A Martin Primary Health Care Center

Practice address

56 US Hwy 321 Bypass N
Winnsboro, SC 29180

Phone

(803) 635-6099

Fax

(803) 635-6343

NPI assigned

Dec 12, 2006

Last updated

Aug 9, 2016By 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

Mark Shaffer, MDNPI 1639308380

Title

Medical Director

Phone

(803) 635-6099

Specialties & licenses 1

Addresses

Other names 1

• John A Martin Primary Health Care Center Doing business as

Practitioners 1

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.

• Mark Edward Shaffer, MD

  • Family Medicine Physician
  • Winnsboro, SC
  • NPI 1639308380
  Authorized official Same address or phone

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1306907613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 US HWY 321 BYPASS N",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "29180",
            "telephone_number": "803-635-6099",
            "fax_number": "803-635-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 US HWY 321 BYPASS N",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "29180",
            "telephone_number": "803-635-6099",
            "fax_number": "803-635-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COMMUNITY HEALTH FOUNDATION OF FAIRFIELD COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "SHAFFER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "803-635-6099",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John A Martin Primary Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Carolina Em-I Medical Services PC
• State of South Carlina (SC Dhec)
• Kimberly Speaks Steele
• Deborah Lou Stuck, MD
• Julie Thach
• Tara Tolbert
• Trans-Med Services, Inc.
• Marianna Cristina Wagner, PHARMD
• Shelia Walker
• Elizabeth Reid Patrick Warren, DMD

• Rural Health Clinic/Center in Winnsboro, SC
• Providers in Winnsboro, 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 9, 2016; 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.