NPIMap

Organization Active NPI

Community Medical Center

  • Clinic Pharmacy
  • Vance, SC
National Provider Identifier
1568544591
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
50002540 Issued in SC
Legal business name
COMMUNITY MEDICAL CENTER
Practice address
10278 Old #6 Highway
Vance, SC 29163
Phone
(803) 531-6900
Fax
(803) 531-6907
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Arthur Kobina Kennedy, MD
Title
Chief Executive Officer
Phone
(803) 531-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 50002540 SC Primary

Addresses

Primary practice location

10278 Old #6 Highway
Vance, SC 29163

Mailing address

10278 Old #6 Highway
Vance, SC 29163
Phone (803) 531-6900

National Provider Directory

National Provider Directory
Tax ID family
Denmark-Olar High School29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568544591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10278 OLD #6 HIGHWAY",
            "city": "VANCE",
            "state": "SC",
            "postal_code": "29163",
            "telephone_number": "803-531-6900",
            "fax_number": "803-531-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10278 OLD #6 HIGHWAY",
            "city": "VANCE",
            "state": "SC",
            "postal_code": "29163",
            "telephone_number": "803-531-6900",
            "fax_number": "803-531-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "KOBINA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "803-531-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "SC",
            "license": "50002540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vance, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.