Organization Active NPI

Fields Health Clinic, LLC

  • Primary Care Clinic/Center
  • Columbia, SC
National Provider Identifier
1366890295
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
17854 Issued in SC
Legal business name
FIELDS HEALTH CLINIC, LLC
Practice address
3930 Devine St
Columbia, SC 29205-2804
Phone
(803) 787-7050
Fax
(803) 787-0502
NPI assigned
Jun 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Authorized official

Name
James M Fields, NP-C, DC
Title
Owner
Phone
(803) 361-7262

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 17854 SC Primary
Primary Care Clinic/Center 261QP2300X 17853 SC

Addresses

Primary practice location

3930 Devine St
Columbia, SC 29205-2804

Mailing address

3930 Devine St
Columbia, SC 29205-2804
Phone (803) 787-7050

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1366890295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 DEVINE ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292052804",
            "telephone_number": "803-787-7050",
            "fax_number": "803-787-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 DEVINE ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292052804",
            "telephone_number": "803-787-7050",
            "fax_number": "803-787-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIELDS HEALTH CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-361-7262",
        "authorized_official_credential": "NP-C, DC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "SC",
            "license": "17854",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "SC",
            "license": "17853",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.