Samaritan Health Clinic of Pickens County

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SAMARITAN HEALTH CLINIC OF PICKENS COUNTY

Practice address

303 Dacusville Hwy
Easley, SC 29640-1510

Phone

(864) 855-0853

Fax

(864) 855-5882

NPI assigned

Sep 11, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Tobias A Vogel

Title

Executive Director

Phone

(864) 855-0853

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Marie Sue Chance, M.D.

  • Family Medicine Physician
  • Easley, SC
  • NPI 1215132030
  NPD (past)
• Kimberly Dawn Jordan, NP

  • Obstetrics & Gynecology Nurse Practitioner
  • Easley, SC
  • NPI 1720282494
  NPD (past)
• Myra Aurelia Phipps, M.D.

  • Family Medicine Physician
  • Easley, SC
  • NPI 1770787426
  NPD (past)

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1407257280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 DACUSVILLE HWY",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296401510",
            "telephone_number": "864-855-0853",
            "fax_number": "864-855-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 DACUSVILLE HWY",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296401510",
            "telephone_number": "864-855-0853",
            "fax_number": "864-855-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN HEALTH CLINIC OF PICKENS COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "VOGEL",
        "authorized_official_first_name": "TOBIAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "864-855-0853",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Rutter, PHARMD
• RX Healthcare Inc (RX Healthcare)
• Stephanie Hosam Saad-Naguib, DMD
• Phillip W Saccogna, MD
• Sam's East, Inc (Sam's Club Vision Center 30-4901)
• Sams East Inc (Sam's Club Pharmacy 10-4901)
• Jennifer Allison Sanders
• Shelby Diane Sanders, SLPA
• SC Urgent Care LLC (DBA Upstate Urgent Care)
• SC-Ga2018 Capstone Rehabilitation and Healthcare Center, LLC (Capstone Rehabilitation and Healthcare Center)

• Clinic/Center in Easley, SC
• Providers in Easley, SC by specialty
• Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.