Organization Active NPI

Hopehealth Inc

Doing business as HopeHealth Kingstree DBA Williamsburg Pharmacy

  • Federally Qualified Health Center (FQHC)
  • Kingstree, SC
National Provider Identifier
1316754989
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HOPEHEALTH INC
Doing business as
HopeHealth Kingstree DBA Williamsburg Pharmacy
HopeHealth Williamsburg
Practice address
411 Thurgood Marshall Hwy
Kingstree, SC 29556-4032
Phone
(843) 656-0365
Fax
(843) 647-6457
NPI assigned
Dec 16, 2024
Last updated
May 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Authorized official

Name
Mark Vinson, CPA
Title
Chief Financial Officer
Phone
(843) 656-0353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

411 Thurgood Marshall Hwy
Kingstree, SC 29556-4032

Mailing address

360 N Irby St
Florence, SC 29501-2808
Phone (843) 667-9414

Other names 2

  • HopeHealth Kingstree DBA Williamsburg Pharmacy Doing business as
  • HopeHealth Williamsburg Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250805000902 SC Part A Provider - Federally Qualified Health Center (FQHC) 4082510623 Practice locations: Kingstree, SC

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1316754989. Details of each certification follow.

Federally qualified health center certification: CCN 421118

Legal name
HOPEHEALTH, INC.
Doing business as
HOPEHEALTH WILLIAMSBURG
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 17, 2025
Last certification
Jul 17, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
411 Thurgood Marshall Hwy
Kingstree, SC 29556-4032

Federally qualified health center certification: CCN 421115

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
HOPEHEALTH, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 4, 2025
Last certification
Apr 4, 2025
Ownership / control type
For profit – corporation
Facility address
411 Thurgood Marshall Hwy
Kingstree, SC 29556

Other NPIs with the same Medicare PAC ID 22

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 22

National Provider Directory

National Provider Directory
Tax ID family
Hope Health27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Hopehealth, Inc. Organization, Florence, SC Chain home office Operational/Managerial Control Jul 15, 2024
Carl M Humphries Individual Corporate OfficerChief Executive Officer Jul 15, 2024
W-2 Managing Employee Jul 15, 2024
Operational/Managerial Control Jul 15, 2024
Mark Vinson Individual Corporate OfficerChief Financial Officer Jul 15, 2024
W-2 Managing Employee Jul 15, 2024
Operational/Managerial Control Jul 15, 2024
Angela Hilton Individual Corporate OfficerChief Administrative Officer Jul 15, 2024
W-2 Managing Employee Jul 15, 2024
Operational/Managerial Control Jul 15, 2024

Owners & managing parties with NPI records 22

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 22

All facility ownership & control disclosures 14

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hopehealth FmuFlorence, SC, CCN 421943 Federally qualified health center Operational/Managerial Control Jun 8, 2011
Hope for the Pee Dee IncLake City, SC, CCN 421984 Federally qualified health center Operational/Managerial Control Mar 18, 2013
Hopehealth ManningManning, SC, CCN 421000 Federally qualified health center Operational/Managerial Control Mar 18, 2013
Hopehealth Manning PediatricsManning, SC, CCN 421001 Federally qualified health center Operational/Managerial Control Mar 18, 2013
Hope for the Pee DeeFlorence, SC, CCN 421028 Federally qualified health center Operational/Managerial Control Feb 1, 2016
Hopehealth, Inc.Greeleyville, SC, CCN 421031 Federally qualified health center Operational/Managerial Control Dec 1, 2015
Hopehealth, Inc.Florence, SC, CCN 421080 Federally qualified health center Operational/Managerial Control Oct 1, 2020
Hopehealth, Inc.Manning, SC, CCN 421081 Federally qualified health center Operational/Managerial Control Sep 25, 2020
Hopehealth, Inc.Hemingway, SC, CCN 871007 Federally qualified health center Operational/Managerial Control Jun 4, 2021
Hopehealth Pine NeedlesFlorence, SC, CCN 871018 Federally qualified health center Operational/Managerial Control Jul 28, 2021
Hopehealth Mills StreetManning, SC, CCN 871034 Federally qualified health center Operational/Managerial Control Jun 4, 2021
Hopehealth Timmonsville School Based Health CenterTimmonsville, SC, CCN 421084 Federally qualified health center Operational/Managerial Control Sep 9, 2022
Hopehealth at the ManorFlorence, SC, CCN 421117 Federally qualified health center Operational/Managerial Control Jan 24, 2025
Hopehealth J Paul Truluck School-Based Health CenterLake City, SC, CCN 421125 Federally qualified health center Operational/Managerial Control Apr 2, 2025

Owned or controlled facilities with NPI records 14

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 14

Facilities with the same owner 14

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1316754989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 N IRBY ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295012808",
            "telephone_number": "843-667-9414",
            "fax_number": "843-667-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 THURGOOD MARSHALL HWY",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295564032",
            "telephone_number": "843-656-0365",
            "fax_number": "843-647-6457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPEHEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "VINSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "843-656-0353",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HopeHealth Kingstree DBA Williamsburg Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HopeHealth Williamsburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingstree, SC

Sources for this page

Verify at the official NPI Registry.