Active NPI
Georgetown Health Group
Doing business as Medical Building, PA
- Rural Health Clinic/Center
- Georgetown, SC
National Provider Identifier
1598818098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- GEORGETOWN HEALTH GROUP
- Doing business as
- Medical Building, PA
- Practice address
- 1530 High Market St
Georgetown, SC 29440 - Phone
- (843) 546-5128
- Fax
- (843) 527-7500
- NPI assigned
- Jan 19, 2007
- Last updated
- Apr 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sue Stark
- Title
- Coadministrator
- Phone
- (843) 527-4442
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | NU | Primary |
Addresses
Primary practice location
1530 High Market St
Georgetown, SC 29440
Mailing address
1075 N Fraser St
Georgetown, SC 29440-2848
Phone (843) 527-4442
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RHC167 | Medicaid | SC | |
| RHC051 | Medicaid | SC |
Other names 1
- Medical Building, PA
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208131200000",
"number": "1598818098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1075 N FRASER ST",
"city": "GEORGETOWN",
"state": "SC",
"postal_code": "294402848",
"telephone_number": "843-527-4442",
"fax_number": "843-527-4027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 HIGH MARKET ST",
"city": "GEORGETOWN",
"state": "SC",
"postal_code": "29440",
"telephone_number": "843-546-5128",
"fax_number": "843-527-7500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGETOWN HEALTH GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-19",
"last_updated": "2008-04-14",
"status": "A",
"authorized_official_last_name": "STARK",
"authorized_official_first_name": "SUE",
"authorized_official_title_or_position": "COADMINISTRATOR",
"authorized_official_telephone_number": "843-527-4442"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RHC167",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RHC051",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medical Building, PA",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Georgetown, SC
- Georgetown Dental Center of SC Inc
- Georgetown Gastroenterology, LLC (Waccamaw Gastroenterology, PC)
- Georgetown HC&R Nursing, LLC (Georgetown Healthcare & Rehab)
- Georgetown Health Group
- Georgetown Health Group (Medical Building, PA)
- Georgetown Healthcare & Rehab.
- Georgetown Hospital Home Health LLC (Amedisys Home Health of Georgetown)
- Georgetown Internal Medicine, LLC (Waccamaw Community Care, Georgetown)
- Georgetown Memorial Hospital (Tidelands Health Pediatric Rehabilitation Services at Georgetown)
- Georgetown Memorial Hospital (Tidelands Health Skilled Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.