Organization Active NPI

Healthcare Management Group Inc

Doing business as Fowler Rural Medical

  • Family Medicine Physician
  • Marion, SC
National Provider Identifier
1316098957
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6769 Issued in SC
Legal business name
HEALTHCARE MANAGEMENT GROUP INC
Doing business as
Fowler Rural Medical
Practice address
2236 E Highway 76
Marion, SC 29571-6353
Phone
(843) 423-4044
NPI assigned
Jan 12, 2007
Last updated
Jun 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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

Authorized official

Name
Mr. Mitch Walker
Title
Business Office
Phone
(843) 423-4044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6769 SC Primary

Addresses

Primary practice location

2236 E Highway 76
Marion, SC 29571-6353

Mailing address

PO Box 875
Marion, SC 29571-0875
Phone (843) 423-4044

Other identifiers 1

IdentifierTypeStateIssuer
CBP500MedicaidSC

Other names 1

  • Fowler Rural Medical Doing business as

National Provider Directory

National Provider Directory

Locations

1106 Lombardy St
Marion, SC 29571
Phone (843) 423-2400

2236 E Highway 76
Marion, SC 29571
Phone (843) 423-4044

2236 E Highway 76
Ste N
Marion, SC 29571
Phone (843) 423-4044

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": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340755200000",
    "number": "1316098957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 875",
            "city": "MARION",
            "state": "SC",
            "postal_code": "295710875",
            "telephone_number": "843-423-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2236 E HIGHWAY 76",
            "city": "MARION",
            "state": "SC",
            "postal_code": "295716353",
            "telephone_number": "843-423-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE MANAGEMENT GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2012-06-27",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "MITCH",
        "authorized_official_title_or_position": "BUSINESS OFFICE",
        "authorized_official_telephone_number": "843-423-4044",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "6769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CBP500",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fowler Rural Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.