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

Practice address

56 US Hwy 321 Bypass N
Winnsboro, SC 29180

Phone

(803) 635-6099

Fax

(803) 635-6343

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Mark Shaffer, MD

Title

Medical Director

Phone

(803) 635-6099

Specialties & licenses 1

Addresses

Other names 1

• John A Martin Primary Health Care Center Doing business as

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
• 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

• All providers in Winnsboro, SC
• 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.