NPIMap

Organization Active NPI

Live Oak Medical Center

  • Non-Pharmacy Dispensing Site
  • Lake City, SC
National Provider Identifier
1487942157
Registry record updated Jul 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
LIVE OAK MEDICAL CENTER
Practice address
148 Sauls St
Lake City, SC 29560-2631
Phone
(843) 374-3621
Fax
(843) 374-3624
NPI assigned
Jul 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2011

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

Authorized official

Name
Myra Aard
Title
Director
Phone
(843) 374-3621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

148 Sauls St
Lake City, SC 29560-2631

Mailing address

148 Sauls St
Lake City, SC 29560-2631
Phone (843) 374-3621

National Provider Directory

National Provider Directory
Tax ID family
Live Oak Medical Center PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310688000000",
    "number": "1487942157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 SAULS ST",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602631",
            "telephone_number": "843-374-3621",
            "fax_number": "843-374-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 SAULS ST",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602631",
            "telephone_number": "843-374-3621",
            "fax_number": "843-374-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE OAK MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-15",
        "last_updated": "2011-07-15",
        "status": "A",
        "authorized_official_last_name": "AARD",
        "authorized_official_first_name": "MYRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "843-374-3621"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 15, 2011; 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.