NPIMap

Organization Active NPI

Edisto Regional Health Services Inc.

Doing business as RMC Primary Care Branchville

  • Rural Health Clinic/Center
  • Branchville, SC
National Provider Identifier
1487701157
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
EDISTO REGIONAL HEALTH SERVICES INC.
Doing business as
RMC Primary Care Branchville
Practice address
215 Dorange Rd
Branchville, SC 29432-2241
Phone
(803) 274-8400
Fax
(803) 274-8817
NPI assigned
Jan 4, 2007
Last updated
Oct 19, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
EDISTO REGIONAL HEALTH SERVICES INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Authorized official

Name
Cheryl S. Mason
Title
C.F.O.
Phone
(803) 395-2224

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

215 Dorange Rd
Branchville, SC 29432-2241

Mailing address

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

Other names 1

  • RMC Primary Care Branchville Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040810000307 SC Part B Supplier - Clinic/Group Practice 4981693447 Receives reassigned benefits from 41 practitioners
17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bowman, SC; Bamberg, SC; Santee, SC; Saint Matthews, SC; Orangeburg, SC; Holly Hill, SC; Branchville, SC

Other NPIs on the same Medicare enrollment 17

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 17

National Provider Directory

National Provider Directory
Part of
Calhoun Family Practice

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Mar 1, 2023 Change of OwnershipThis provider was the seller Musc Community PhysiciansCCN 423856, SC, NPI 1043916448

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 4

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": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1487701157",
    "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",
            "fax_number": "803-536-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 DORANGE RD",
            "city": "BRANCHVILLE",
            "state": "SC",
            "postal_code": "294322241",
            "telephone_number": "803-274-8400",
            "fax_number": "803-274-8817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDISTO REGIONAL HEALTH SERVICES INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EDISTO REGIONAL HEALTH SERVICES INC.",
        "enumeration_date": "2007-01-04",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "C.F.O.",
        "authorized_official_telephone_number": "803-395-2224"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RMC Primary Care Branchville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Branchville, SC

Sources for this page

Verify at the official NPI Registry.