Dillon County Free Medical Clinic

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

DILLON COUNTY FREE MEDICAL CLINIC

Practice address

310 E Washington St
Dillon, SC 29536-2948

Phone

(843) 774-4241

Fax

(843) 774-4243

NPI assigned

Nov 26, 2019

Last updated

Nov 26, 2019By 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

Mr. Ernest BarrentineNPI 1215712948

Title

Executive Director

Phone

(843) 774-4241

Specialties & licenses 1

Addresses

Locations

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.

• Ernest Barrentine

  • Emergency Registered Nurse
  • Latta, SC
  • NPI 1215712948
  NPD Authorized official

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574726400000",
    "number": "1316583222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E WASHINGTON ST",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295362948",
            "telephone_number": "843-774-4241",
            "fax_number": "843-774-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E WASHINGTON ST",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295362948",
            "telephone_number": "843-774-4241",
            "fax_number": "843-774-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DILLON COUNTY FREE MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A",
        "authorized_official_last_name": "BARRENTINE",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "843-774-4241",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa G. Dietz, N.P.
• Dillion Vision Care, PC
• Dillon Adult Day Care LLC (Dillon Adult Day Care)
• Dillon Community Pharmacy, Inc.
• Dillon Community Pharmacy, Inc.
• Dillon Eyecare Associates LTD
• Dillon Family Dental Center PC
• Dillon Family Medicine, P.a.
• Dillon Family Medicine, PA
• Dillon Family Pharmacy I (Dillon Family Pharmacy)

• Voluntary or Charitable Agency in Dillon, SC
• Providers in Dillon, SC by specialty
• Voluntary or Charitable Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.