NPIMap

Organization Active NPI

Edisto Regional Health Services Inc

Doing business as RMC Santee Express Care

  • Urgent Care Clinic/Center
  • Santee, SC
National Provider Identifier
1467550087
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
EDISTO REGIONAL HEALTH SERVICES INC
Doing business as
RMC Santee Express Care
Practice address
111 John Lawson Ave
Santee, SC 29142-8654
Phone
(803) 395-2070
Fax
(803) 395-2097
NPI assigned
Sep 20, 2006
Last updated
Jun 20, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Authorized official

Name
Christal Leann Fulmer
Title
Manager
Phone
(803) 395-4248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

111 John Lawson Ave
Santee, SC 29142-8654

Mailing address

PO Box 1245
Orangeburg, SC 29116-1245
Phone (803) 395-4497

Other identifiers 2

IdentifierTypeStateIssuer
400685MedicaidSC
GP5587MedicaidSC

Other names 1

  • RMC Santee Express Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Low Country Pain Center12 organizations share this tax ID, including this one
Part of
Allen Migliaccio Crna

Other organizations with this tax ID 11

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

Practitioners & affiliated clinicians

Practitioners 10

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.

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": "1655683200000",
    "number": "1467550087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1245",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291161245",
            "telephone_number": "803-395-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 JOHN LAWSON AVE",
            "city": "SANTEE",
            "state": "SC",
            "postal_code": "291428654",
            "telephone_number": "803-395-2070",
            "fax_number": "803-395-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDISTO REGIONAL HEALTH SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A",
        "authorized_official_last_name": "FULMER",
        "authorized_official_first_name": "CHRISTAL",
        "authorized_official_middle_name": "LEANN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "803-395-4248"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400685",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP5587",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RMC Santee Express Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santee, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.