Organization Active NPI

Charleston Medical Clinic

  • Primary Care Clinic/Center
  • Charleston, SC
National Provider Identifier
1326246695
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
SC9366 Issued in SC
Legal business name
CHARLESTON MEDICAL CLINIC
Practice address
38 Radcliffe St
Charleston, SC 29403-6146
Phone
(843) 723-4328
Fax
(843) 722-8303
NPI assigned
Jul 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Authorized official

Name
Dr. Helen E Sloan, M.D,NPI 1992739023
Title
Owner
Phone
(883) 723-4328

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X SC9366 SC Primary

Addresses

Primary practice location

38 Radcliffe St
Charleston, SC 29403-6146

Mailing address

38 Radcliffe St
Charleston, SC 29403-6146
Phone (843) 723-4328

Other identifiers 1

IdentifierTypeStateIssuer
PA3530MedicaidSC

National Provider Directory

National Provider Directory

Locations

38 Radcliffe St
Charleston, SC 29403
Phone (803) 723-4328

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1326246695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 RADCLIFFE ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294036146",
            "telephone_number": "843-723-4328",
            "fax_number": "843-722-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 RADCLIFFE ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294036146",
            "telephone_number": "843-723-4328",
            "fax_number": "843-722-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "883-723-4328",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "SC",
            "license": "SC9366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA3530",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.