Sumter Family Health Center - Administration

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

SUMTER FAMILY HEALTH CENTER - ADMINISTRATION

Practice address

219 N Washington Street
Sumter, SC 29150-4204

Phone

(803) 774-4500

NPI assigned

Feb 25, 2015

Last updated

Feb 25, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

SUMTER FAMILY HEALTH CENTERAs reported in NPPES

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

Authorized official

Name

Annie Brown

Title

Ceo

Phone

(803) 774-4500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

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

• Tandem Health SC

  • Federally Qualified Health Center (FQHC)
  • Sumter, SC
  • NPI 1356772776

  O20040603000514

  Same enrollment
• Tandem Health SC

  • Federally Qualified Health Center (FQHC)
  • Sumter, SC
  • NPI 1386630192

  O20040603000514

  Same enrollment
• Tandem Health SC

  dba Tandem Health

  • Federally Qualified Health Center (FQHC)
  • Sumter, SC
  • NPI 1740641919

  O20040603000514

  Same enrollment
• Tandem Health SC

  dba Sumter Family Health Center - Pinewood

  • Federally Qualified Health Center (FQHC)
  • Pinewood, SC
  • NPI 1811973068

  O20040603000514

  Same enrollment

Part of

Sumter Family Health Center - Administration

Locations

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1588056741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 N WASHINGTON STREET",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504204",
            "telephone_number": "803-774-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 N WASHINGTON STREET",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504204",
            "telephone_number": "803-774-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMTER FAMILY HEALTH CENTER - ADMINISTRATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMTER FAMILY HEALTH CENTER",
        "enumeration_date": "2015-02-25",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-774-4500"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sumter Ear, Nose, Throat & Facial Plastic Surgery, LLC
• Sumter East Facility LLC (Sumter East Health and Rehabilitation Center)
• Sumter Family Dental Center
• Sumter Family Health Center (Sumter Family Health Center - Dental Services)
• Sumter Family Health Center
• Sumter Family Medicine Associates, P.a. (Sumter Family Medicine, PA)
• Sumter Gastroenterology
• Sumter Hearing Associates
• Sumter Internal Medicine Associates
• Sumter Interventional Pain Associates

• Federally Qualified Health Center (FQHC) in Sumter, SC
• Providers in Sumter, SC by specialty
• Federally Qualified Health Center (FQHC) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.