Organization Active NPI

Coulter Clinic

  • Primary Care Clinic/Center
  • Orangeburg, SC
National Provider Identifier
1609058254
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
10582 Issued in SC
Legal business name
COULTER CLINIC
Practice address
941 Summers Ave
Orangeburg, SC 29115-4931
Phone
(803) 534-0437
Fax
(803) 531-1464
NPI assigned
Dec 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Authorized official

Name
Franklin Carn Coulter, M.D.NPI 1730103144
Title
Provider
Phone
(803) 534-0438

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 10582 SC Primary

Addresses

Primary practice location

941 Summers Ave
Orangeburg, SC 29115-4931

Mailing address

941 Summers Ave
Orangeburg, SC 29115-4931
Phone (803) 534-0437

Other identifiers 1

IdentifierTypeStateIssuer
105825MedicaidSC

National Provider Directory

National Provider Directory

Locations

941 Summers Ave
Orangeburg, SC 29115
Phone (803) 534-0437

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/7c8c7300-43e9-473e-badd-c134996bff81/

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1609058254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 SUMMERS AVE",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154931",
            "telephone_number": "803-534-0437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 SUMMERS AVE",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154931",
            "telephone_number": "803-534-0437",
            "fax_number": "803-531-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COULTER CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "COULTER",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_middle_name": "CARN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "803-534-0438",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "SC",
            "license": "10582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105825",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.