Active NPI
Lower Florence County Hospital
- Rural Health Clinic/Center
- Lake City, SC
National Provider Identifier
1437256757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- License
- RHC146
- Legal business name
- LOWER FLORENCE COUNTY HOSPITAL
- Practice address
- 276 N Ron McNair Blvd
Lake City, SC 29560-2462 - Phone
- (843) 394-5471
- Fax
- (843) 394-5459
- NPI assigned
- Sep 20, 2006
- Organization subpart
- Yes
- Parent organization
- LOWER FLORENCE COUNTY HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Sims
- Title
- Coordinator
- Phone
- (843) 374-6437
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | RHC146 | SC | Primary |
Addresses
Primary practice location
276 N Ron McNair Blvd
Lake City, SC 29560-2462
Mailing address
PO Box 1479
Lake City, SC 29560-1479
Phone (843) 374-2036
Other names 1
- Pee Dee Family Practice - Lake City
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Part of
- Lower Florence County Hosp
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Oct 1, 2022 | Change of Ownership | Musc Health Primary Care - Ron McNair Blvd |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Rural Health Clinic/Center
- Lake City, SC
- NPI 1063149748
Sold to, 2022-10-01
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400025600000",
"number": "1437256757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1479",
"city": "LAKE CITY",
"state": "SC",
"postal_code": "295601479",
"telephone_number": "843-374-2036",
"fax_number": "843-374-3019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "276 N RON MCNAIR BLVD",
"city": "LAKE CITY",
"state": "SC",
"postal_code": "295602462",
"telephone_number": "843-394-5471",
"fax_number": "843-394-5459"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOWER FLORENCE COUNTY HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LOWER FLORENCE COUNTY HOSPITAL",
"enumeration_date": "2006-09-20",
"last_updated": "2014-05-14",
"status": "A",
"authorized_official_last_name": "SIMS",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "COORDINATOR",
"authorized_official_telephone_number": "843-374-6437"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "SC",
"license": "RHC146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pee Dee Family Practice - Lake City",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lake City, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.